Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12434 | Date 05/09/2023 |
| Token No | SM/22-23/24149 05/09/2023 | Serial | 016 Last Visit: 05/09/2023 |
| Patient Name | Master UPAMANYU MOHANTI | Contact No | 9883175522 |
| Address | 24/A/1 KUMARPARA LANE SERAMPORE | Age | 6 Years,4 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||