Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06655 | Date 16/10/2019 |
| Token No | SM/20-21/30793 16/03/2021 | Serial | 031 Last Visit: 16/03/2021 |
| Patient Name | Mr. ADITYA CHOUWDHARY | Contact No | 7044902776 |
| Address | 14/17 KONNAGAR MUKHERJEE BAGAN LANE | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||