Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12919 | Date 13/12/2023 |
| Token No | SM/22-23/27143 13/12/2023 | Serial | 054 Last Visit: 13/12/2023 |
| Patient Name | Mr. SURYA DUTTA | Contact No | |
| Address | SERAMPORE | Age | 14 Years,1 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||