Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12670 | Date 30/10/2023 |
| Token No | SM/22-23/25697 30/10/2023 | Serial | 023 Last Visit: 30/10/2023 |
| Patient Name | Mr. RAJDEEP SARKAR | Contact No | 9088548782 |
| Address | 175/205A TELIPARA BAGER BAGAN CHATRA SERAMPORE | Age | 13 Years,6 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||