Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03177 | Date 25/01/2019 |
| Token No | SM/18-19/7423 25/01/2019 | Serial | 013 Last Visit: 23/03/2020 |
| Patient Name | Mr. HRITIK DUTTA | Contact No | 9088740937 |
| Address | 79 CHATRA SHITLA TALA , BAIDYABATI(M) | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||