Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10109 | Date 22/09/2021 |
| Token No | SM/22-23/14452 08/07/2022 | Serial | 029 Last Visit: 28/07/2022 |
| Patient Name | Mr. DEBRAJ CHAKRABORTI | Contact No | 8697215560 |
| Address | 6 P. N. CHAKRABORTY LANE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||