Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16029 | Date 10/09/2025 |
| Token No | SM/25-26/5992 10/09/2025 | Serial | 073 Last Visit: 10/09/2025 |
| Patient Name | Master SK AMIN | Contact No | 9330562752 |
| Address | 7 ARBINDA SARANI CHATRA SERAMPORE | Age | 3 Years,9 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||