Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16222 | Date 01/11/2025 |
| Token No | SM/25-26/7495 01/11/2025 | Serial | 074 Last Visit: 01/11/2025 |
| Patient Name | Master ARJO RAY | Contact No | |
| Address | CHATRA TELI PARA , BAIDYABATI (M) | Age | 5 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||