Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11568 | Date 14/09/2022 |
| Token No | SM/22-23/16746 15/09/2022 | Serial | 018 Last Visit: 21/09/2022 |
| Patient Name | Mr. NILAV RAM | Contact No | 9123302337 |
| Address | 19 DR G C GOSWAMI STREET SERAMPORE9123302337 | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||