Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01020 | Date 10/09/2018 |
| Token No | SM/18-19/1448 10/09/2018 | Serial | 036 Last Visit: 10/09/2018 |
| Patient Name | Master AYUSH RAJBHAR | Contact No | 8961338440 |
| Address | 3 BAZAR BY LANE,SERAMPORE | Age | 5.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||