Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01507 | Date 04/10/2018 |
| Token No | SM/19-20/4569 14/06/2019 | Serial | 044 Last Visit: 14/12/2021 |
| Patient Name | Mr. ANIRUDHA DUTTA | Contact No | 9073216987 |
| Address | 32/C CHATRA DUTTA PARA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||