Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02843 | Date 05/01/2019 |
| Token No | SM/18-19/6332 05/01/2019 | Serial | 047 Last Visit: 05/01/2019 |
| Patient Name | Mr. RUDRA SAHA | Contact No | 7059705107 |
| Address | CHATRA JOGGESWER | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||