Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05521 | Date 22/06/2019 |
| Token No | SM/19-20/5075 22/06/2019 | Serial | 036 Last Visit: 22/06/2019 |
| Patient Name | Mr. SANTANU HAPAR | Contact No | 9674437879 |
| Address | 131 TELIPARA BAGER BAGAN BAIDYABATI(M) | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||