Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07015 | Date 29/11/2019 |
| Token No | SM/19-20/15417 16/12/2019 | Serial | 081 Last Visit: 10/10/2023 |
| Patient Name | Mr. SOHAM GUIN | Contact No | 9830849558 |
| Address | 90/3 CHATRA BARUI PARA SERAMPORE | Age | 19 Years,3 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||