Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01228 | Date 19/09/2018 |
| Token No | SM/19-20/7095 23/07/2019 | Serial | 033 Last Visit: 09/03/2023 |
| Patient Name | Mr. SAYAN DUTTA | Contact No | 9088247566 |
| Address | 1 , DUTTAS LANE CHATRA SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||