Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02492 | Date 12/12/2018 |
| Token No | SM/21-22/3117 13/07/2021 | Serial | 024 Last Visit: 16/08/2022 |
| Patient Name | Mr. DEBDIP SANYAL | Contact No | 9163489687 |
| Address | 7 A DR. G C GOWSAMI STREET | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||