Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11280 | Date 16/07/2022 |
| Token No | SM/22-23/30091 09/03/2024 | Serial | 026 Last Visit: 28/08/2024 |
| Patient Name | Master SAYAN DAS | Contact No | 8017001119 |
| Address | SERAMPORE,KUMIR JOLA ROAD | Age | 8 Years,7 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||