Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16078 | Date 19/09/2025 |
| Token No | SM/25-26/6300 19/09/2025 | Serial | 031 Last Visit: 19/09/2025 |
| Patient Name | Master SOUMIK MONDAL | Contact No | 6289545872 |
| Address | 31/A BARO BAGAN LANE MALLICKPARA SERAMPORE | Age | 5 Years,2 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||