Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15035 | Date 19/02/2025 |
| Token No | SM/24-25/43054 19/02/2025 | Serial | 013 Last Visit: 04/04/2025 |
| Patient Name | Mr. SK ASIR | Contact No | 9836855725 |
| Address | 21 K D ROAD BAIDYABATI (M) | Age | 13 Years,9 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||