Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14675 | Date 14/12/2024 |
| Token No | SM/24-25/40634 14/12/2024 | Serial | 002 Last Visit: 14/12/2024 |
| Patient Name | Mr. RIPAN KOLEY | Contact No | |
| Address | SERAMPORE | Age | 21 Years,11 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||