Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14294 | Date 24/09/2024 |
| Token No | SM/24-25/37554 24/09/2024 | Serial | 006 Last Visit: 24/09/2024 |
| Patient Name | Mr. ADARSH DAS | Contact No | 7011080413 |
| Address | 26/A SHITALATAL JOL TANK , SERAMPORE | Age | 12 Years,11 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||