Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15755 | Date 25/07/2025 |
| Token No | SM/25-26/4085 25/07/2025 | Serial | 023 Last Visit: 25/07/2025 |
| Patient Name | Mr. SOURAV DAS | Contact No | 8583943340 |
| Address | 3/206 MAHESH COLONY SERAMPORE | Age | 12 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||