Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07927 | Date 25/03/2020 |
| Token No | SM/19-20/24778 06/08/2020 | Serial | 053 Last Visit: 05/07/2021 |
| Patient Name | Mr. INDANIL MITRA | Contact No | 9163155999 |
| Address | 150/A RAMKRRISHNA ROAD,BAIDYABATI(M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||