Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03116 | Date 21/01/2019 |
| Token No | SM/22-23/22072 09/06/2023 | Serial | 003 Last Visit: 17/06/2023 |
| Patient Name | Mr. SUMAN DAS | Contact No | 9836079361 |
| Address | 41 N.S AVENUE SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||