Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07741 | Date 11/03/2020 |
| Token No | SM/19-20/19351 11/03/2020 | Serial | 014 Last Visit: 09/11/2023 |
| Patient Name | Mr. KUNTAL BHADRA | Contact No | 9903482522 |
| Address | 4 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 16 Years,6 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||