Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06577 | Date 30/09/2019 |
| Token No | SM/22-23/15324 03/08/2022 | Serial | 019 Last Visit: 03/08/2022 |
| Patient Name | Mr. SANTANU MONDAL | Contact No | 6290064317 |
| Address | 18 ,N N ROY STREET | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||