Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07673 | Date 28/02/2020 |
| Token No | SM/21-22/2170 11/06/2021 | Serial | 036 Last Visit: 28/02/2022 |
| Patient Name | Mr. RAJDEEP DAS | Contact No | 9051784557 |
| Address | 86- 35 SATCHASI PARA CHATRA SERAMPORE, BAIDYABATI(M) | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||