Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 13394 | Date 07/03/2024 |
| Token No | SM/22-23/30012 07/03/2024 | Serial | 024 Last Visit: 09/03/2024 |
| Patient Name | Mr. RAJ DAS | Contact No | 9330499539 |
| Address | SAHIR BAGAN BHADESWAR MATH PARA | Age | 12 Years,6 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||