Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12917 | Date 13/12/2023 |
| Token No | SM/22-23/27141 13/12/2023 | Serial | 052 Last Visit: 13/12/2023 |
| Patient Name | Mr. SUDIP PAL | Contact No | |
| Address | SERAMPORE, CHATRA HOOGHLY | Age | 15 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||