Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11514 | Date 01/09/2022 |
| Token No | SM/22-23/16219 01/09/2022 | Serial | 033 Last Visit: 01/09/2022 |
| Patient Name | Master SUBHOJIT DAS | Contact No | 8240518513 |
| Address | 72/1 A.P GHOSH ROAD SERAMPORE (M) CHATRA | Age | 10+ YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||