Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00893 | Date 04/09/2018 |
| Token No | SM/18-19/1183 04/09/2018 | Serial | 019 Last Visit: 27/06/2019 |
| Patient Name | Master ARGHYA GUPTA | Contact No | 8017183116 |
| Address | 10, VIVAKANAND LANE SERAMPORE | Age | 3.6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||