Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12679 | Date 30/10/2023 |
| Token No | SM/22-23/25733 30/10/2023 | Serial | 059 Last Visit: 30/10/2023 |
| Patient Name | Mr. SUMEN BAG | Contact No | 9836764962 |
| Address | VAIDYABATI CHATRA HOOGHLY | Age | 15 Years,6 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||