Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12639 | Date 16/10/2023 |
| Token No | SM/22-23/25412 16/10/2023 | Serial | 059 Last Visit: 16/10/2023 |
| Patient Name | Master IMAN DUTTA | Contact No | 9748721819 |
| Address | 18 CHATRA JM L LAN E | Age | 13 Years,10 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||