Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10452 | Date 23/12/2021 |
| Token No | SM/21-22/8039 23/12/2021 | Serial | 020 Last Visit: 23/12/2021 |
| Patient Name | Mr. DIPANKER HAZRA | Contact No | 6291866720 |
| Address | 42(36/D/D)CHATRA TETUL TALA,BAIDYABATI(M) | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||