Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00272 | Date 09/08/2018 |
| Token No | SM/18-19/2516 05/10/2018 | Serial | 037 Last Visit: 12/09/2020 |
| Patient Name | Mr. ROHAN JHA | Contact No | 9681059453 |
| Address | N.N ROY STREET , SERAMPORE HOOGHLY | Age | 12.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||