Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02283 | Date 01/12/2018 |
| Token No | SM/18-19/6576 10/01/2019 | Serial | 003 Last Visit: 18/01/2019 |
| Patient Name | Master ANURAG JANA | Contact No | 7685001997 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI (M) | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||