Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07824 | Date 17/03/2020 |
| Token No | SM/19-20/19812 17/03/2020 | Serial | 071 Last Visit: 17/03/2021 |
| Patient Name | Mr. DIPANKAR MONDAL | Contact No | 8961778206 |
| Address | 132/1 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||