Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12668 | Date 30/10/2023 |
| Token No | SM/24-25/39282 12/11/2024 | Serial | 004 Last Visit: 12/11/2024 |
| Patient Name | Mr. SK ROBIUDDIN | Contact No | 8017901682 |
| Address | 21 KANAI DEOWAN TALA BYE LANE SERAMPORE | Age | 8 Years,6 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||