Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08698 | Date 03/09/2020 |
| Token No | SM/22-23/15766 16/08/2022 | Serial | 035 Last Visit: 13/01/2023 |
| Patient Name | Mr. BIKASH DAS | Contact No | 9007310343 |
| Address | 43/1 SATCHASI PARA CHATRA , BAIDYABATI (M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||