Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09268 | Date 02/03/2021 |
| Token No | SM/20-21/30280 02/03/2021 | Serial | 043 Last Visit: 02/03/2021 |
| Patient Name | Mr. MANIK DAS | Contact No | 9674269219 |
| Address | 16/B CHAWK BEGDIPARA,BAIDYABATI(M) | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||