Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03310 | Date 02/02/2019 |
| Token No | SM/18-19/7847 02/02/2019 | Serial | 036 Last Visit: 02/02/2019 |
| Patient Name | Mr. ARGHA SOM | Contact No | 9433652852 |
| Address | 67/C G T ROAD,MARADAN,BAIDYABATI(M) | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||