Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00889 | Date 04/09/2018 |
| Token No | SM/18-19/1173 04/09/2018 | Serial | 009 Last Visit: 10/07/2020 |
| Patient Name | Mr. SAYANTAN ADHIKARY | Contact No | 7605836299 |
| Address | 15 RAJA K.L GOSWAMI STREET , SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||