Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03323 | Date 02/02/2019 |
| Token No | SM/24-25/31647 23/04/2024 | Serial | 002 Last Visit: 23/04/2024 |
| Patient Name | Mr. KUSHAN DHARA | Contact No | 9874945637 |
| Address | 49/A SOUTH BHATTCHARYA PARA, BAIDYBATI (M) | Age | 8 Years,9 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||