Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13045 | Date 28/12/2023 |
| Token No | SM/22-23/27609 28/12/2023 | Serial | 013 Last Visit: 03/01/2024 |
| Patient Name | Mr. SRIRISH DAS | Contact No | 6290012024 |
| Address | 20 P N K B LANE SERAMPORE | Age | 5 Years,4 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||