Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04114 | Date 09/03/2019 |
| Token No | SM/18-19/10233 09/03/2019 | Serial | 024 Last Visit: 08/06/2019 |
| Patient Name | Mr. ARYAN CHAKRABORTY | Contact No | 9883443146 |
| Address | 4 ROY GHAT LANE SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||