Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12276 | Date 24/07/2023 |
| Token No | SM/22-23/23126 24/07/2023 | Serial | 030 Last Visit: 24/07/2023 |
| Patient Name | Mr. SOHAM GHOSH | Contact No | 9330706765 |
| Address | 10/C CHAMPA TALA LANE SERAMPORE | Age | 17 Years,9 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||