Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07335 | Date 14/01/2020 |
| Token No | SM/19-20/16680 14/01/2020 | Serial | 009 Last Visit: 30/10/2021 |
| Patient Name | Mr. SURAJ DUTTA | Contact No | 9874262013 |
| Address | PAHALMPUR, PAHALAMPUR DIARA | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||