Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15766 | Date 26/07/2025 |
| Token No | SM/25-26/4171 26/07/2025 | Serial | 041 Last Visit: 26/07/2025 |
| Patient Name | Mr. DEBNATH MAJHI | Contact No | 7890130830 |
| Address | 59 BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 15 Years,1 Months,17 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||