Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11114 | Date 10/06/2022 |
| Token No | SM/24-25/32544 15/05/2024 | Serial | 045 Last Visit: 15/05/2024 |
| Patient Name | Mr. ANKUSH BAGCHI | Contact No | 9836515118 |
| Address | 18 H.M GOSWAMI STREET SERAMPORE | Age | 15 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||