Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15801 | Date 30/07/2025 |
| Token No | SM/25-26/6482 24/09/2025 | Serial | 045 Last Visit: 24/09/2025 |
| Patient Name | Master SHIVANSH DAS | Contact No | 9883531363 |
| Address | 16 P N MUKHERJEE STREET SERAMPORE | Age | 6 Years,0 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||