Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02590 | Date 19/12/2018 |
| Token No | SM/19-20/4594 14/06/2019 | Serial | 069 Last Visit: 21/05/2022 |
| Patient Name | Mr. JAYDEEP BANIK | Contact No | 9331282766 |
| Address | 13, RAY GHAT LANE SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||