Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09614 | Date 15/05/2021 |
| Token No | SM/22-23/28859 07/02/2024 | Serial | 016 Last Visit: 28/05/2024 |
| Patient Name | Mr. SUDIPTA PAL | Contact No | 9674788126 |
| Address | SATCHASI PARA SERAMPORE | Age | 17 Years,4 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||