Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00946 | Date 06/09/2018 |
| Token No | SM/18-19/1290 06/09/2018 | Serial | 015 Last Visit: 06/09/2018 |
| Patient Name | Mr. SARAJ BANERJEE | Contact No | |
| Address | 11 ,CHATRA CHOWDHURY PARA | Age | 11.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||