Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11591 | Date 19/09/2022 |
| Token No | SM/22-23/17259 29/09/2022 | Serial | 048 Last Visit: 28/11/2022 |
| Patient Name | Mr. MAHESWAR KOLEY | Contact No | 9331072693 |
| Address | 14 THAKUR DAS BABU LANE SERAMPORE | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||