Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02619 | Date 20/12/2018 |
| Token No | SM/18-19/8969 18/02/2019 | Serial | 142 Last Visit: 31/12/2024 |
| Patient Name | Mr. KRISHANU SAHA | Contact No | 9831279747 |
| Address | 61 THAKUR DAS BABU LANE | Age | 14 Years,11 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||