Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14596 | Date 23/11/2024 |
| Token No | SM/25-26/4430 02/08/2025 | Serial | 023 Last Visit: 02/08/2025 |
| Patient Name | Master SK ARHAN | Contact No | 8420071106 |
| Address | 36/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 6 Years,1 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||