Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07409 | Date 24/01/2020 |
| Token No | SM/19-20/18721 27/02/2020 | Serial | 009 Last Visit: 20/03/2020 |
| Patient Name | Mr. AMIT MITRA | Contact No | 7890756980 |
| Address | 24 BAGER BAGAN , CHATRA , BAIDYBATI(M) | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||