Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14014 | Date 08/07/2024 |
| Token No | SM/25-26/7841 10/11/2025 | Serial | 061 Last Visit: 10/11/2025 |
| Patient Name | Mr. MOINAK KAR | Contact No | 7890224255 |
| Address | MUKHARJEE PARA, CHATRA, BAIDYABATI(M) | Age | 11 Years,5 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||