Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03712 | Date 20/02/2019 |
| Token No | SM/18-19/9066 20/02/2019 | Serial | 004 Last Visit: 20/02/2019 |
| Patient Name | Master ADITYA GIRI | Contact No | 8697189406 |
| Address | 22 CHAKRABORTY LANE SERAMPORE | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||