Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11084 | Date 01/06/2022 |
| Token No | SM/22-23/13133 01/06/2022 | Serial | 039 Last Visit: 01/06/2022 |
| Patient Name | Mr. SOUNAK KARMAKAR | Contact No | 9088070566 |
| Address | 2/B SIDHESWARI LANE CHATRA SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||