Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07898 | Date 24/03/2020 |
| Token No | SM/19-20/20185 24/03/2020 | Serial | 006 Last Visit: 19/04/2021 |
| Patient Name | Mr. SUBHADEEP DAS | Contact No | 9830298275 |
| Address | 31 DR. G. C. GOSWAMI STREET,SERAMPORE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||