Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04445 | Date 28/03/2019 |
| Token No | SM/18-19/11456 28/03/2019 | Serial | 058 Last Visit: 28/03/2019 |
| Patient Name | Mr. JAYDEEP SHIL | Contact No | 9143064981 |
| Address | 165/C PRABHAS NAGAR , SERAMPORE HOOGHLY | Age | 7.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||