Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00441 | Date 14/08/2018 |
| Token No | SM/18-19/490 14/08/2018 | Serial | 031 Last Visit: 11/08/2023 |
| Patient Name | Master DEBARGHYA PAL | Contact No | 8017542170 |
| Address | 84B, BARUIPARA LANE, CHATRA | Age | 6 Years,7 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||