Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01260 | Date 22/09/2018 |
| Token No | SM/18-19/1907 22/09/2018 | Serial | 020 Last Visit: 22/09/2018 |
| Patient Name | Mr. PRIYANGSHU MAJHI | Contact No | 8777256497 |
| Address | SERAMPORE ROY GHATE LANE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||