Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03252 | Date 31/01/2019 |
| Token No | SM/19-20/6297 11/07/2019 | Serial | 047 Last Visit: 11/07/2019 |
| Patient Name | Mr. AKASH KUNDU | Contact No | 8420318127 |
| Address | CHATRA,DHERMA TALA LANE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||