Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05405 | Date 13/06/2019 |
| Token No | SM/19-20/4468 13/06/2019 | Serial | 023 Last Visit: 13/06/2019 |
| Patient Name | Mr. SUBHADEEP KUNDU | Contact No | 8334072588 |
| Address | 62C G.T ROAD MALLICK PARA , BAIDYABATI(M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||