Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15977 | Date 01/09/2025 |
| Token No | SM/25-26/5559 01/09/2025 | Serial | 051 Last Visit: 21/11/2025 |
| Patient Name | Mr. SOUMIJIT DAS | Contact No | 9038136841 |
| Address | 45 (24/7) GODAR BAGAN CHATRA BAIDYABATI (M) | Age | 6 Years,10 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||