Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04519 | Date 02/04/2019 |
| Token No | SM/19-20/690 10/04/2019 | Serial | 056 Last Visit: 05/03/2020 |
| Patient Name | Mr. AVIJIT CHATERJEE | Contact No | 9800900862 |
| Address | 25 CHATRA GODER BAGAN,BAIDYABATI(M) | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||