Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03448 | Date 07/02/2019 |
| Token No | SM/19-20/19865 18/03/2020 | Serial | 039 Last Visit: 25/11/2021 |
| Patient Name | Mr. RITAM DUTTA | Contact No | 8981872068 |
| Address | 33 CHATRA DUTTA PARA BYE LANE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||