Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02944 | Date 10/01/2019 |
| Token No | SM/18-19/6614 10/01/2019 | Serial | 041 Last Visit: 10/01/2019 |
| Patient Name | Master ADHRIT SANYAL | Contact No | 9874240134 |
| Address | 6B CHATRA LAHIRI PARA | Age | 16 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||