Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12112 | Date 24/05/2023 |
| Token No | SM/24-25/35704 03/08/2024 | Serial | 004 Last Visit: 01/10/2024 |
| Patient Name | Mr. ROBIN GUPTA | Contact No | 8961340010 |
| Address | 15 KAPURIYA PATTY LANE SERAMPORE | Age | 16 Years,9 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||