Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01140 | Date 14/09/2018 |
| Token No | SM/18-19/1663 14/09/2018 | Serial | 029 Last Visit: 08/12/2023 |
| Patient Name | Master ROHIT DAS | Contact No | |
| Address | SERAMPORE | Age | 13 Years,0 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||