Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04477 | Date 30/03/2019 |
| Token No | SM/18-19/11623 30/03/2019 | Serial | 038 Last Visit: 07/05/2024 |
| Patient Name | Mr. AMIT CHOWDHURY | Contact No | |
| Address | BAROBELUR MAKAL TALA | Age | 16 Years,4 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||