Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15183 | Date 01/04/2025 |
| Token No | SM/25-26/12 01/04/2025 | Serial | 012 Last Visit: 01/04/2025 |
| Patient Name | Master BIBHASH NASKAR | Contact No | 9674175417 |
| Address | CHATRA BAGER BAGAN TELI PARA | Age | 5 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||