Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05270 | Date 28/05/2019 |
| Token No | SM/19-20/3589 28/05/2019 | Serial | 030 Last Visit: 10/06/2024 |
| Patient Name | Master SAYAN PARUI | Contact No | 7450064959 |
| Address | 2(13) HARIJAN ROAD , BAIDYABATI(M) | Age | 7 Years,7 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||