Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00920 | Date 05/09/2018 |
| Token No | SM/18-19/10221 09/03/2019 | Serial | 012 Last Visit: 22/12/2023 |
| Patient Name | Mr. SAYANDEEP KARMAKAR | Contact No | 9836596469 |
| Address | 2/B, SIDDESWARI LANE, CHATRA | Age | 12 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||