Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 16270 | Date 14/11/2025 |
| Token No | SM/25-26/8359 27/11/2025 | Serial | 046 Last Visit: 27/11/2025 |
| Patient Name | Master MAYANG ADHIKARI | Contact No | 9088609485 |
| Address | 5 RAJYADHARPUR GOVT COLONY SERAMPORE | Age | 6 Years,5 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||