Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11206 | Date 28/06/2022 |
| Token No | SM/22-23/24809 29/09/2023 | Serial | 001 Last Visit: 29/09/2023 |
| Patient Name | Master ANSUMAN KOLEY | Contact No | 9874941260 |
| Address | 6/A S C CHATTACHERJEE SERAMPORE | Age | 9 Years,6 Months,10 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||