Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 15408 | Date 28/05/2025 |
| Token No | SM/25-26/2227 06/06/2025 | Serial | 049 Last Visit: 20/06/2025 |
| Patient Name | Master ARUP DAS | Contact No | 7044217061 |
| Address | 3 NO. NATUN GRAM NITYANANDA PALLY, RISHRA | Age | 8 Years,11 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||