Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04343 | Date 23/03/2019 |
| Token No | SM/18-19/11030 23/03/2019 | Serial | 034 Last Visit: 23/03/2019 |
| Patient Name | Mr. KARTIK MONDAL | Contact No | 9331282766 |
| Address | 18 N.N RAY STREET SERAMPORE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||