Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01942 | Date 12/11/2018 |
| Token No | SM/18-19/3611 12/11/2018 | Serial | 089 Last Visit: 12/11/2018 |
| Patient Name | Mr. ROHAN ROUTH | Contact No | |
| Address | SANTOSH PUR,TARAKESWAR,HOOGHLY | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||