Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15864 | Date 07/08/2025 |
| Token No | SM/25-26/4653 07/08/2025 | Serial | 057 Last Visit: 07/08/2025 |
| Patient Name | Master MD MIRAJ | Contact No | 9875398317 |
| Address | PARSI LANE,SERAMPORE | Age | 8 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||