Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15558 | Date 14/06/2025 |
| Token No | SM/25-26/7476 01/11/2025 | Serial | 055 Last Visit: 01/11/2025 |
| Patient Name | Master ANIRBAN MAHANTA | Contact No | 9875400306 |
| Address | 9/D D N BHATTCHARYA LANE CHATRA SERAMPORE | Age | 7 Years,1 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||