Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03814 | Date 22/02/2019 |
| Token No | SM/19-20/1713 26/04/2019 | Serial | 025 Last Visit: 05/10/2020 |
| Patient Name | Mr. PINTU KUMAR RAJAK | Contact No | 6291083656 |
| Address | GS SCHEME PRAFULLA SEN PURTU , KOLKATA | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||