Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16193 | Date 18/10/2025 |
| Token No | SM/25-26/7217 18/10/2025 | Serial | 082 Last Visit: 18/10/2025 |
| Patient Name | Master SOURANUJ SANTRA | Contact No | 8240692700 |
| Address | 19/B BARA BAGAN LANE SERAMPORE | Age | 2 Years,7 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||