Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05289 | Date 29/05/2019 |
| Token No | SM/19-20/3686 29/05/2019 | Serial | 053 Last Visit: 26/05/2022 |
| Patient Name | Mr. SANTANU HALDAR | Contact No | 8478035086 |
| Address | 334 CHATRA BARUI PARA LANE SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||