Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14191 | Date 23/08/2024 |
| Token No | SM/24-25/37895 01/10/2024 | Serial | 086 Last Visit: 01/10/2024 |
| Patient Name | Mr. SUMIT RAY | Contact No | 9123826689 |
| Address | 94/A N S AVENUE SERAMPORE | Age | 18 Years,11 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||