Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11708 | Date 24/11/2022 |
| Token No | SM/25-26/3407 11/07/2025 | Serial | 032 Last Visit: 11/07/2025 |
| Patient Name | Mr. BIKKI KUMAR JAISWARA | Contact No | 9123718013 |
| Address | 11 RABINDRA BHABAN ROAD , SERAMPORE | Age | 17 Years,11 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||