Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12542 | Date 04/10/2023 |
| Token No | SM/22-23/24910 04/10/2023 | Serial | 025 Last Visit: 04/10/2023 |
| Patient Name | Master PRINCE SHAW | Contact No | 8017230751 |
| Address | 29 BAZAR BY LANE SERAMPORE | Age | 3 Years,9 Months,2 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 11.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||