Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01156 | Date 15/09/2018 |
| Token No | SM/19-20/241 04/04/2019 | Serial | 030 Last Visit: 27/05/2022 |
| Patient Name | Mr. SUVOJIT SOM | Contact No | 9874014889 |
| Address | 17/B CHTARA DUTTA PARA | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||