Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10484 | Date 31/12/2021 |
| Token No | SM/21-22/8346 31/12/2021 | Serial | 033 Last Visit: 07/02/2024 |
| Patient Name | Mr. SUJOY RAM SINGH | Contact No | 9903135310 |
| Address | 1 MUSALMAN PARA, SERAMPORE AIMACHAPSARA | Age | 9 Years,1 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||