Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13141 | Date 24/01/2024 |
| Token No | SM/22-23/28358 24/01/2024 | Serial | 011 Last Visit: 24/01/2024 |
| Patient Name | Master GEET RAY | Contact No | 6290738259 |
| Address | 16 RAJA K L GOSWAMI STREET SERAMPORE | Age | 2 Years,2 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||