Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12585 | Date 07/10/2023 |
| Token No | SM/22-23/25052 07/10/2023 | Serial | 028 Last Visit: 07/10/2023 |
| Patient Name | Mr. GOUTAM DAS | Contact No | |
| Address | SERAMPORE | Age | 15 Years,0 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||