Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13035 | Date 26/12/2023 |
| Token No | SM/25-26/3640 16/07/2025 | Serial | 031 Last Visit: 16/07/2025 |
| Patient Name | Master NILADRI DATTA | Contact No | 6289160941 |
| Address | 47 GURUDAS BHATTACHARJEE LANE CHATRA BAIDYABATI (M) | Age | 7 Years,10 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||