Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12118 | Date 29/05/2023 |
| Token No | SM/22-23/21918 01/06/2023 | Serial | 007 Last Visit: 03/06/2023 |
| Patient Name | Mr. TRISHAN CHAKRABORTY | Contact No | 9830462137 |
| Address | 22 DR, P N MUKHERJEE STREET SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||