Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02956 | Date 11/01/2019 |
| Token No | SM/24-25/40885 24/12/2024 | Serial | 015 Last Visit: 24/12/2024 |
| Patient Name | Mr. SAIKAT PAL | Contact No | 8017627172 |
| Address | 29/39 CHATRA TETUL TALA,BAIDYABATI(M) | Age | 14 Years,2 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||