Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12488 | Date 19/09/2023 |
| Token No | SM/22-23/24513 19/09/2023 | Serial | 025 Last Visit: 19/09/2023 |
| Patient Name | Mr. SUVHODIP CHAKRABORTY | Contact No | 8478995237 |
| Address | 20/8 RAM KRISHNA ROAD CHATRA SERAMPORE | Age | 15 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||