Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15936 | Date 25/08/2025 |
| Token No | SM/25-26/5266 25/08/2025 | Serial | 081 Last Visit: 25/08/2025 |
| Patient Name | Mr. NILOY BARAI | Contact No | 7044386228 |
| Address | UTTAR SAPTAGRAM | Age | 14 Years,7 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||