Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03381 | Date 05/02/2019 |
| Token No | SM/18-19/8044 05/02/2019 | Serial | 035 Last Visit: 04/09/2024 |
| Patient Name | Mr. SALONI KUMARI | Contact No | 8582881507 |
| Address | RAJA K L GOSWAMI STREET | Age | 11 Years,8 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||