Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03647 | Date 18/02/2019 |
| Token No | SM/19-20/19845 18/03/2020 | Serial | 019 Last Visit: 30/09/2024 |
| Patient Name | Mr. SUMANTA PAL | Contact No | 9088548823 |
| Address | 52 CHATRA DHARMOTALA | Age | 15 Years,8 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||