Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04199 | Date 13/03/2019 |
| Token No | SM/18-19/10506 13/03/2019 | Serial | 033 Last Visit: 23/07/2019 |
| Patient Name | Mr. AKASH BISWAS | Contact No | 9836262535 |
| Address | 46/1 SACHTASI PARA LANKAR BAGAN, BAIDYABATI(M) | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||