Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14291 | Date 23/09/2024 |
| Token No | SM/24-25/37546 23/09/2024 | Serial | 027 Last Visit: 23/09/2024 |
| Patient Name | Mr. IMAN SAMANTA | Contact No | |
| Address | SERAMPORE | Age | 8 Years,6 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||