Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00235 | Date 08/08/2018 |
| Token No | SM/18-19/251 08/08/2018 | Serial | 017 Last Visit: 08/08/2018 |
| Patient Name | Master ARGHYA GUPTA | Contact No | |
| Address | 10, VIVEKANANDA LANE | Age | 3.4 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||