Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09316 | Date 13/03/2021 |
| Token No | SM/20-21/30669 13/03/2021 | Serial | 008 Last Visit: 20/03/2021 |
| Patient Name | Mr. AYAN DEBNATH | Contact No | 6290309082 |
| Address | 188 RAMKRISHNA ROAD, BAIDYABATI(M) | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||