Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04497 | Date 01/04/2019 |
| Token No | SM/19-20/46 01/04/2019 | Serial | 047 Last Visit: 28/08/2023 |
| Patient Name | Mr. SK ASIF | Contact No | 7044922144 |
| Address | 7A ARBINDA SARANI SERAMPORE | Age | 15 Years,2 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||