Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10171 | Date 04/10/2021 |
| Token No | SM/21-22/8445 04/01/2022 | Serial | 010 Last Visit: 29/07/2024 |
| Patient Name | Mr. SK SAHIN | Contact No | 8617250257 |
| Address | 14 MUSHALMAN PARA CHATRA SERAMPORE | Age | 13 Years,0 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||