Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15642 | Date 02/07/2025 |
| Token No | SM/25-26/3230 05/07/2025 | Serial | 008 Last Visit: 05/07/2025 |
| Patient Name | Master NILABHA RAM | Contact No | 9123302337 |
| Address | 19 DR G C GOSWAMI STREET SERAMPORE | Age | 8 Years,11 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||