Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04099 | Date 08/03/2019 |
| Token No | SM/22-23/11541 08/04/2022 | Serial | 015 Last Visit: 03/08/2022 |
| Patient Name | Mr. SATYAJIT DAS | Contact No | 8479937447 |
| Address | 2 RAJDHARPUR GOVT COLLNEY | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||