Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 11981 | Date 17/03/2023 |
| Token No | SM/22-23/20702 17/03/2023 | Serial | 023 Last Visit: 17/03/2023 |
| Patient Name | Mr. CHANDAN SHAW | Contact No | 9123997912 |
| Address | 21/EL.B.S ROAD SERAMPORE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||