Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01816 | Date 01/11/2018 |
| Token No | SM/18-19/4286 28/11/2018 | Serial | 018 Last Visit: 04/03/2020 |
| Patient Name | Mr. BISHAL GHOSH | Contact No | 8981587064 |
| Address | 5, CHTRA SUDHIR CH. RAY LANE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||