Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12244 | Date 17/07/2023 |
| Token No | SM/22-23/22931 17/07/2023 | Serial | 006 Last Visit: 17/07/2023 |
| Patient Name | Master TUSAR RAY | Contact No | 8695002516 |
| Address | 16 RAJA K L GOSAWAMI STREET | Age | 4 Years,10 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||