Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07846 | Date 19/03/2020 |
| Token No | SM/21-22/3260 17/07/2021 | Serial | 012 Last Visit: 17/07/2021 |
| Patient Name | Mr. PRISHUJ GHOSH | Contact No | 8617272187 |
| Address | 147/55 MUKHERJEE PARA HARISABHA , BAIDYABATI(M) | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||