Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15368 | Date 24/05/2025 |
| Token No | SM/25-26/3964 22/07/2025 | Serial | 016 Last Visit: 22/07/2025 |
| Patient Name | Mr. RAJDEEP DAS | Contact No | 8820180226 |
| Address | 13/G ROY M.C LAHIRI STREET | Age | 11 Years,6 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||