Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16176 | Date 15/10/2025 |
| Token No | SM/25-26/7034 15/10/2025 | Serial | 032 Last Visit: 15/10/2025 |
| Patient Name | Mr. SUROJIT HAZRA | Contact No | 8170928408 |
| Address | KALSA AURIA KATWA-II, BARDHAMAN | Age | 11 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||