Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 16260 | Date 10/11/2025 |
| Token No | SM/25-26/7812 10/11/2025 | Serial | 032 Last Visit: 10/11/2025 |
| Patient Name | Master SAGNIK SAHA | Contact No | 6291455915 |
| Address | 17 NONA DANGA ROAD,BAIDYABATI(M) | Age | 2 Years,0 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||