Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14923 | Date 30/01/2025 |
| Token No | SM/25-26/3806 19/07/2025 | Serial | 020 Last Visit: 13/10/2025 |
| Patient Name | Master HRITIK KUMAR | Contact No | 9123967531 |
| Address | BAGER BAGAN TELI PARA, BAIDYABATI(M) | Age | 0 Years,11 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||