Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02066 | Date 20/11/2018 |
| Token No | SM/18-19/3996 20/11/2018 | Serial | 074 Last Visit: 25/05/2022 |
| Patient Name | Mr. RUDRA GHOSH | Contact No | 9874697912 |
| Address | 18 BANIYA PARA LANE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||