Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05257 | Date 27/05/2019 |
| Token No | SM/19-20/3549 27/05/2019 | Serial | 105 Last Visit: 25/01/2023 |
| Patient Name | Mr. SUMANTA DAS | Contact No | 9239350625 |
| Address | MUKHERJEE PARA SERAMPORE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||