Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14070 | Date 24/07/2024 |
| Token No | SM/24-25/43077 19/02/2025 | Serial | 036 Last Visit: 07/04/2025 |
| Patient Name | Master SOUNAK GHOSH | Contact No | 9163659516 |
| Address | 20/8/3 TELIPARA CHATRA SERAMPORE , BAIDYABATI (M) | Age | 6 Years,0 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||