Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15074 | Date 03/03/2025 |
| Token No | SM/24-25/43465 03/03/2025 | Serial | 012 Last Visit: 03/03/2025 |
| Patient Name | Master SANATAN MANDAL | Contact No | 9088369279 |
| Address | CHOTOBELU BELUMILKI | Age | 8 Years,4 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||