Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03409 | Date 06/02/2019 |
| Token No | SM/18-19/8148 06/02/2019 | Serial | 042 Last Visit: 06/02/2019 |
| Patient Name | Master ARYY SOM | Contact No | 6291058911 |
| Address | 17 CHATRA DUTTA\'S LANE | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||