Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06833 | Date 11/11/2019 |
| Token No | SM/19-20/13029 11/11/2019 | Serial | 071 Last Visit: 05/12/2023 |
| Patient Name | Mr. ISHAN MONDAL | Contact No | 9051026219 |
| Address | 105 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 11 Years,7 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||