Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07215 | Date 23/12/2019 |
| Token No | SM/19-20/15763 23/12/2019 | Serial | 013 Last Visit: 23/12/2019 |
| Patient Name | Mr. ARITRA KUNDU | Contact No | |
| Address | BATANAL , BATANAL HOOGHLY | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||