Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11650 | Date 05/11/2022 |
| Token No | SM/22-23/17680 05/11/2022 | Serial | 022 Last Visit: 09/01/2024 |
| Patient Name | Mr. CHIRAG THAKUR | Contact No | 9330956183 |
| Address | 2 L B S ROAD SERAMPORE | Age | 8 Years,6 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||