Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02214 | Date 29/11/2018 |
| Token No | SM/18-19/4384 29/11/2018 | Serial | 045 Last Visit: 29/11/2018 |
| Patient Name | Mr. SHIBAM GHOSH | Contact No | 9051099468 |
| Address | 48/1 MUKHERJEE PARA LANE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||