Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06056 | Date 05/08/2019 |
| Token No | SM/19-20/8264 09/08/2019 | Serial | 071 Last Visit: 06/05/2020 |
| Patient Name | Mr. SUBHADEEP GHOSH | Contact No | 8482009378 |
| Address | CHATRA MANSHA TALA , BAIDYABATI (M) | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||