Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11379 | Date 01/08/2022 |
| Token No | SM/22-23/15686 13/08/2022 | Serial | 015 Last Visit: 13/08/2022 |
| Patient Name | Mr. SOURJYA DAS | Contact No | 9831105630 |
| Address | 34 CHATRA DHARAMOTALA LANE SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||