Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11168 | Date 22/06/2022 |
| Token No | SM/22-23/20840 24/03/2023 | Serial | 018 Last Visit: 24/03/2023 |
| Patient Name | Mr. SUMAN BAG | Contact No | 9088526015 |
| Address | 77/1 RAMKRISHNA ROAD BAIDYABATI(M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||