Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09267 | Date 02/03/2021 |
| Token No | SM/20-21/30277 02/03/2021 | Serial | 040 Last Visit: 02/03/2021 |
| Patient Name | Mr. AMIT MITRA | Contact No | |
| Address | 24 BAGHER BAGAN ,BAIDYABATI(M) | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||