Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13860 | Date 12/06/2024 |
| Token No | SM/24-25/33576 12/06/2024 | Serial | 021 Last Visit: 12/06/2024 |
| Patient Name | Mr. SIMANTA RAJAK | Contact No | |
| Address | SERAMPORE | Age | 16 Years,5 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||