Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00330 | Date 10/08/2018 |
| Token No | SM/18-19/356 10/08/2018 | Serial | 044 Last Visit: 10/08/2018 |
| Patient Name | Master SK. ABDUL | Contact No | |
| Address | SERAMPORE HOOGHLY | Age | 5.6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||