Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 13557 | Date 12/04/2024 |
| Token No | SM/24-25/31296 12/04/2024 | Serial | 020 Last Visit: 12/04/2024 |
| Patient Name | Mr. SUPARNO KOLEY | Contact No | |
| Address | SERAMPORE | Age | 4 Years,5 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||