Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02492 | Date 12/12/2018 |
| Token No | SM/19-20/8157 08/08/2019 | Serial | 022 Last Visit: 16/08/2022 |
| Patient Name | Mr. DEBDIP SANYAL | Contact No | 9163489687 |
| Address | 7 A DR. G C GOWSAMI STREET | Age | 14 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||