Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02592 | Date 19/12/2018 |
| Token No | SM/19-20/1898 29/04/2019 | Serial | 054 Last Visit: 11/10/2023 |
| Patient Name | Mr. SUBRATA BHANGARI | Contact No | 7278899484 |
| Address | 16 RAJA K.L GOSWAMI STREET | Age | 13 Years,9 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||