Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03662 | Date 18/02/2019 |
| Token No | SM/18-19/8922 18/02/2019 | Serial | 095 Last Visit: 18/02/2019 |
| Patient Name | Mr. ARGHYADEEP DUTTA | Contact No | 6291668155 |
| Address | 124/1(39G/A) G.T ROAD NABAGRAM , BAIDYABATI(M) | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||