Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09196 | Date 20/01/2021 |
| Token No | SM/20-21/29576 20/01/2021 | Serial | 024 Last Visit: 06/09/2022 |
| Patient Name | Mr. JIT KARMOKAR | Contact No | 9382110650 |
| Address | 23 CHAKRABORTY LANE SERAMPORE | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||