Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 12533 | Date 29/09/2023 |
| Token No | SM/22-23/24826 29/09/2023 | Serial | 018 Last Visit: 29/09/2023 |
| Patient Name | Mr. PRIYAM GUPTA | Contact No | 9051039057 |
| Address | 10/11 KALIPUKUR , SHEORAPHULI, BAIDYABATI (M) | Age | 11 Years,11 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||