Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15429 | Date 30/05/2025 |
| Token No | SM/25-26/1983 31/05/2025 | Serial | 001 Last Visit: 31/05/2025 |
| Patient Name | Master ABHINANDAN DEY | Contact No | 8981470173 |
| Address | 130 (51) GOPAL PARA CHATRA BAIDYABATI (M) | Age | 6 Years,10 Months,7 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||