Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11389 | Date 04/08/2022 |
| Token No | SM/22-23/15367 04/08/2022 | Serial | 028 Last Visit: 04/08/2022 |
| Patient Name | Master ISHAN CHATTERJEE | Contact No | 6290121429 |
| Address | 54/A, DHARMATALA LANE SERAMPORE(M) | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||