Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12561 | Date 06/10/2023 |
| Token No | SM/22-23/25005 06/10/2023 | Serial | 032 Last Visit: 06/10/2023 |
| Patient Name | Mr. SUROJ SAHA | Contact No | |
| Address | SERAMPORE | Age | 17 Years,0 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||