Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08339 | Date 12/06/2020 |
| Token No | SM/19-20/24231 20/07/2020 | Serial | 004 Last Visit: 08/07/2024 |
| Patient Name | Mr. RAHUL PRASAD RAUTH | Contact No | 9748200991 |
| Address | 54 CHATRA DHARMOTALA LANE SERAMPORE | Age | 12 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||