Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08552 | Date 17/07/2020 |
| Token No | SM/19-20/24186 17/07/2020 | Serial | 037 Last Visit: 17/07/2020 |
| Patient Name | Mr. ARGHADEEP DHENKI | Contact No | 9330250659 |
| Address | 64/26 SATCHASI PARA , BAIDYABATI(M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||