Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 14430 | Date 21/10/2024 |
| Token No | SM/25-26/6491 24/09/2025 | Serial | 054 Last Visit: 24/09/2025 |
| Patient Name | Master PRINCE KISKU | Contact No | 7059336799 |
| Address | 3 PARSHI LANE SERAMPORE | Age | 3 Years,7 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||