Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11214 | Date 30/06/2022 |
| Token No | SM/22-23/19484 05/01/2023 | Serial | 022 Last Visit: 11/03/2024 |
| Patient Name | Master PRITHYRAJ BISWAS | Contact No | 9123358696 |
| Address | 191 SITALA TALA ROAD BAIDYABATI (M) | Age | 9 Years,2 Months,8 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||