Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12605 | Date 10/10/2023 |
| Token No | SM/22-23/25152 10/10/2023 | Serial | 007 Last Visit: 01/07/2024 |
| Patient Name | Mr. MD SHABUDDIN | Contact No | 6291143650 |
| Address | 5 ARABINDA SARANI CHATRA SERAMPORE | Age | 12 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||