Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 13221 | Date 08/02/2024 |
| Token No | SM/22-23/28936 08/02/2024 | Serial | 029 Last Visit: 08/02/2024 |
| Patient Name | Mr. PRASANTA DAS | Contact No | 8296642229 |
| Address | 18/B JAGANNATH GHAT LANE SERAMPORE | Age | 13 Years,1 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||