Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00958 | Date 06/09/2018 |
| Token No | SM/18-19/1310 06/09/2018 | Serial | 035 Last Visit: 06/09/2018 |
| Patient Name | Mr. ARPAN DAS | Contact No | 9903198955 |
| Address | 68 MUKHARJEE PARA ,SERAMPORE | Age | 8.1 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||