Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03547 | Date 13/02/2019 |
| Token No | SM/19-20/5972 06/07/2019 | Serial | 035 Last Visit: 07/07/2025 |
| Patient Name | Mr. SK ALFAZ | Contact No | 8777381970 |
| Address | TIKIYA PARA,SERAMPORE | Age | 13 Years,6 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||