Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03197 | Date 28/01/2019 |
| Token No | SM/18-19/7499 28/01/2019 | Serial | 002 Last Visit: 07/06/2024 |
| Patient Name | Mr. PIYUSH SHAW | Contact No | 6289039662 |
| Address | 23,TINBAZAR BYE LANE SERAMPORE | Age | 17 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||