Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00459 | Date 14/08/2018 |
| Token No | SM/18-19/1162 01/09/2018 | Serial | 036 Last Visit: 24/09/2018 |
| Patient Name | Master ADITYA SHAW | Contact No | 9088540222 |
| Address | RAI GHAT SERAMPORE | Age | 3.5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||