Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15858 | Date 07/08/2025 |
| Token No | SM/25-26/4619 07/08/2025 | Serial | 023 Last Visit: 07/08/2025 |
| Patient Name | Mr. RAJARSHI CHANDRA | Contact No | 9874246552 |
| Address | 19 KANAI DEAWAN TALA LANE BAIDYABATI (M) | Age | 12 Years,4 Months,29 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 32.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||