Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08466 | Date 02/07/2020 |
| Token No | SM/19-20/23657 02/07/2020 | Serial | 066 Last Visit: 02/07/2020 |
| Patient Name | Mr. DHRUBOJOTI MONDAL | Contact No | 9088915308 |
| Address | 195 RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||