Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13104 | Date 09/01/2024 |
| Token No | SM/22-23/28009 09/01/2024 | Serial | 046 Last Visit: 09/01/2024 |
| Patient Name | Mr. SOUMOJIT UPADHAY | Contact No | 9163934465 |
| Address | 6/B/1 KHALDHAR LANE SERAMPORE | Age | 21 Years,2 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||