Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05424 | Date 14/06/2019 |
| Token No | SM/19-20/4528 14/06/2019 | Serial | 003 Last Visit: 14/06/2019 |
| Patient Name | Mr. SAYANTAN DEY | Contact No | 9830874279 |
| Address | 132 N. S EVNEU, | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||