Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00739 | Date 27/08/2018 |
| Token No | SM/18-19/913 27/08/2018 | Serial | 046 Last Visit: 27/08/2018 |
| Patient Name | Master SOUNAK RAY | Contact No | |
| Address | NOGAMORE | Age | 3.6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||