Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12304 | Date 02/08/2023 |
| Token No | SM/22-23/23308 02/08/2023 | Serial | 004 Last Visit: 02/08/2023 |
| Patient Name | Mr. ARIK MAJUMDAR | Contact No | 9830556500 |
| Address | 16 THAKURDAS BABU LANE | Age | 6 Years,0 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||