Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03830 | Date 23/02/2019 |
| Token No | SM/20-21/28078 04/12/2020 | Serial | 029 Last Visit: 04/12/2020 |
| Patient Name | Mr. BISWANATH DAS | Contact No | 8013242328 |
| Address | 16/B CHAWK BAGDIPARA , BAIDYABATI(M) | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||