Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14226 | Date 04/09/2024 |
| Token No | SM/24-25/36796 04/09/2024 | Serial | 036 Last Visit: 04/09/2024 |
| Patient Name | Mr. SHIBAM PAL | Contact No | 6291321985 |
| Address | 25/1 GODAR BAGAN LANE BAIDYABATI (M) | Age | 15 Years,7 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||