Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03309 | Date 02/02/2019 |
| Token No | SM/18-19/7842 02/02/2019 | Serial | 031 Last Visit: 05/01/2021 |
| Patient Name | Mr. SWARNAJIT KAYAL | Contact No | 8981228050 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 5 Y 4 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||