Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14891 | Date 25/01/2025 |
| Token No | SM/24-25/42748 10/02/2025 | Serial | 048 Last Visit: 07/04/2025 |
| Patient Name | Master MD IMRAN | Contact No | 9073311180 |
| Address | 18/16, DR. NURI BYE LANE SERAMPORE | Age | 0 Years,6 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||