Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11109 | Date 09/06/2022 |
| Token No | SM/22-23/13369 09/06/2022 | Serial | 022 Last Visit: 09/06/2022 |
| Patient Name | Mr. RAHAMAN KHAN | Contact No | 6289321302 |
| Address | 61/A/D G.T. ROAD,PAMPANAGAR,BAIDYABATI(M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28.5 KG |
| Pulse Rate | / min | Height | 134.4 cm BMI: 15.777795 |
| Diagnosis | |||