Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15188 | Date 04/04/2025 |
| Token No | SM/25-26/107 04/04/2025 | Serial | 002 Last Visit: 04/04/2025 |
| Patient Name | Mr. ARKA PAL CHINA | Contact No | 9088388538 |
| Address | 37 MUKHERJEE PARA CHATRA BAIDYABATI (M) | Age | 9 Years,6 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||