Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 14179 | Date 21/08/2024 |
| Token No | SM/24-25/36635 29/08/2024 | Serial | 045 Last Visit: 11/08/2025 |
| Patient Name | Master MD FAIZAN | Contact No | 7449449118 |
| Address | 41 K M BHATTCHARYA STREET SERAMPORE | Age | 3 Years,0 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||