Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15364 | Date 23/05/2025 |
| Token No | SM/25-26/1691 23/05/2025 | Serial | 062 Last Visit: 30/05/2025 |
| Patient Name | Mr. VIVEK KUMAR | Contact No | 8478970398 |
| Address | 124/C CHATRA BARUI PARA | Age | 9 Years,4 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||