Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15960 | Date 29/08/2025 |
| Token No | SM/25-26/5443 29/08/2025 | Serial | 058 Last Visit: 29/08/2025 |
| Patient Name | Mr. ARIJIT PATRA | Contact No | 8013954944 |
| Address | 18 G T ROAD BAIDYABATI (M) | Age | 10 Years,7 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||