Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03281 | Date 01/02/2019 |
| Token No | SM/25-26/3235 05/07/2025 | Serial | 013 Last Visit: 04/08/2025 |
| Patient Name | Mr. RUPANKER DHARA | Contact No | 9674227128 |
| Address | DOKHHIN BHATTACHARJEE PARA,BAIDYABATY(M) | Age | 11 Years,3 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||