Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02811 | Date 04/01/2019 |
| Token No | SM/18-19/6218 04/01/2019 | Serial | 003 Last Visit: 29/02/2024 |
| Patient Name | Mr. SANDIP ADHIKARY | Contact No | 9804194353 |
| Address | 13/2 CHATRA CHOWDHURY PARA SERAMPORE | Age | 13 Years,6 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||