Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10067 | Date 10/09/2021 |
| Token No | SM/22-23/22572 04/07/2023 | Serial | 016 Last Visit: 04/07/2023 |
| Patient Name | Master REHAN GANGAPUTRA | Contact No | 9123021336 |
| Address | AP. GHOSH ROAD SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||