Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01060 | Date 12/09/2018 |
| Token No | SM/18-19/8536 13/02/2019 | Serial | 003 Last Visit: 03/12/2024 |
| Patient Name | Mr. SANJOY POREL | Contact No | 9874057826 |
| Address | 32 BHADURI PARA LANE | Age | 18 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||