Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07179 | Date 18/12/2019 |
| Token No | SM/20-21/30518 08/03/2021 | Serial | 043 Last Visit: 07/07/2025 |
| Patient Name | Mr. ANIK SARKAR | Contact No | 8017569932 |
| Address | CHATRA SITALATALA, BAIDYABATI(M) | Age | 14 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||