Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10951 | Date 23/04/2022 |
| Token No | SM/22-23/11953 23/04/2022 | Serial | 003 Last Visit: 23/04/2022 |
| Patient Name | Master CHANDRAKANTA GHOSH | Contact No | 7439009505 |
| Address | 3/B/3 BHADURI PARA LANE SERAMPORE | Age | 11+ YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||