Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03443 | Date 07/02/2019 |
| Token No | SM/18-19/8251 07/02/2019 | Serial | 078 Last Visit: 07/02/2019 |
| Patient Name | Master AYUSH BISWAS | Contact No | 9051507379 |
| Address | CHATRA GODER 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 | |||