Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01003 | Date 08/09/2018 |
| Token No | SM/18-19/1406 08/09/2018 | Serial | 035 Last Visit: 03/02/2021 |
| Patient Name | Master PRATYUSH DEB | Contact No | 9475055858 |
| Address | A.P GHOSH ROAD | Age | 4.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||