Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03647 | Date 18/02/2019 |
| Token No | SM/19-20/10098 11/09/2019 | Serial | 005 Last Visit: 30/09/2024 |
| Patient Name | Mr. SUMANTA PAL | Contact No | 9088548823 |
| Address | 52 CHATRA DHARMOTALA | Age | 15 Years,8 Months,28 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||