Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03543 | Date 13/02/2019 |
| Token No | SM/19-20/5768 02/07/2019 | Serial | 058 Last Visit: 26/10/2024 |
| Patient Name | Master SK MOUFIZ | Contact No | 6303175814 |
| Address | 33 MUSALMAN PARA SERAMPORE,TIKIYA PARA | Age | 9 Years,9 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||