Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14261 | Date 14/09/2024 |
| Token No | SM/25-26/5654 04/09/2025 | Serial | 004 Last Visit: 04/09/2025 |
| Patient Name | Mr. ISMAILE SEKH | Contact No | 8145096962 |
| Address | NATUN GRAM BURDWAN | Age | 17 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||