Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 14086 | Date 25/07/2024 |
| Token No | SM/24-25/35306 25/07/2024 | Serial | 047 Last Visit: 25/07/2024 |
| Patient Name | Mr. BINO KUMAR JAISWARA | Contact No | 7439198504 |
| Address | 11 RABINDRA BHABAN ROAD SERAMPORE | Age | 19 Years,11 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||