Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11803 | Date 22/12/2022 |
| Token No | SM/22-23/19125 22/12/2022 | Serial | 015 Last Visit: 22/12/2022 |
| Patient Name | Mr. PRITAM DAS | Contact No | 6290518963 |
| Address | 2 NO. CHATRA DUTTA PARA, SERAMPORE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||