Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04954 | Date 27/04/2019 |
| Token No | SM/20-21/26841 19/10/2020 | Serial | 052 Last Visit: 18/03/2024 |
| Patient Name | Mr. DIPAN MONDAL | Contact No | 8967890584 |
| Address | 24 N.N RAY STREET SERAMPORE | Age | 10 Years,10 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||