Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 14813 | Date 13/01/2025 |
| Token No | SM/24-25/41680 13/01/2025 | Serial | 066 Last Visit: 13/01/2025 |
| Patient Name | Master VIRAD DAS | Contact No | 6290959541 |
| Address | 16 TINBAZER BYE LANE | Age | 1 Years,4 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||