Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13095 | Date 08/01/2024 |
| Token No | SM/22-23/27952 08/01/2024 | Serial | 042 Last Visit: 08/01/2024 |
| Patient Name | Mr. ASIM DAS | Contact No | 9903253906 |
| Address | 20 P N B LANE CHATRA SERAMPORE | Age | 5 Years,2 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||