Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10332 | Date 24/11/2021 |
| Token No | SM/21-22/8345 31/12/2021 | Serial | 032 Last Visit: 09/02/2022 |
| Patient Name | Mr. ARGHYADEEP DUTTA | Contact No | 7980669760 |
| Address | 124/1 G.T ROAD NABAGRAM BAIDHYABATI | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||