Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15249 | Date 30/04/2025 |
| Token No | SM/25-26/927 30/04/2025 | Serial | 037 Last Visit: 30/04/2025 |
| Patient Name | Master AYUSHMAN BANERJEE | Contact No | |
| Address | 33/B DEY STREET | Age | 12 Years,3 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||