Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01085 | Date 12/09/2018 |
| Token No | SM/18-19/1576 12/09/2018 | Serial | 042 Last Visit: 12/09/2018 |
| Patient Name | Master ANGSHU NATH | Contact No | 8420411434 |
| Address | 21A, CHATRA CHOWDHURYPARA | Age | 9 Months Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||