Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01778 | Date 30/10/2018 |
| Token No | SM/18-19/3165 30/10/2018 | Serial | 036 Last Visit: 24/08/2023 |
| Patient Name | Mr. SAHIL MALLICK | Contact No | 6290339198 |
| Address | CHATRA KALI BABU GHAT | Age | 9 Years,3 Months,17 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||