Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15740 | Date 23/07/2025 |
| Token No | SM/25-26/4014 23/07/2025 | Serial | 044 Last Visit: 15/09/2025 |
| Patient Name | Master HRITHIK DUTTA | Contact No | 9382484228 |
| Address | 31 BAHIR SERAMPORE | Age | 6 Years,9 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||