Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09587 | Date 06/05/2021 |
| Token No | SM/21-22/1959 05/06/2021 | Serial | 014 Last Visit: 23/07/2025 |
| Patient Name | Mr. UDAY KOIRY | Contact No | 6291066210 |
| Address | 11 T . P BHATTACHARYA STREET SERAMPORE | Age | 15 Years,6 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||