Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14085 | Date 25/07/2024 |
| Token No | SM/24-25/42983 17/02/2025 | Serial | 019 Last Visit: 01/09/2025 |
| Patient Name | Master SK. SAMIR | Contact No | 6291995312 |
| Address | 15/A KANAI DEWAN TALA LANE SERAMPORE | Age | 12 Years,0 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||