Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03541 | Date 13/02/2019 |
| Token No | SM/19-20/7728 01/08/2019 | Serial | 059 Last Visit: 28/09/2024 |
| Patient Name | Mr. RAHUL DAS | Contact No | 7890568570 |
| Address | CHATRA DAS PARA,HARIJON ROAD,BAIDYABATI(M) | Age | 9 Years,8 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||