Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03406 | Date 06/02/2019 |
| Token No | SM/18-19/8137 06/02/2019 | Serial | 031 Last Visit: 06/02/2019 |
| Patient Name | Master SUBHAM RAY | Contact No | 7003216460 |
| Address | 10 M.G ROAD | Age | 1.2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||