Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11464 | Date 22/08/2022 |
| Token No | SM/24-25/44327 27/03/2025 | Serial | 017 Last Visit: 27/03/2025 |
| Patient Name | Mr. SUMON MIDDEY | Contact No | 9123906749 |
| Address | 131/A TELIPARA BAGER BAGAN BAIDYABATI(M) | Age | 16 Years,0 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||