Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15969 | Date 30/08/2025 |
| Token No | SM/25-26/5475 30/08/2025 | Serial | 029 Last Visit: 30/08/2025 |
| Patient Name | Master ANIMASH DAS | Contact No | 8585876398 |
| Address | 96/D/A G T ROAD BAIDYABATI (M) | Age | 9 Years,7 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||