Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03744 | Date 21/02/2019 |
| Token No | SM/18-19/9140 21/02/2019 | Serial | 002 Last Visit: 27/03/2021 |
| Patient Name | Mr. NEEL ROY | Contact No | 9748763129 |
| Address | 26 P N MUKHERJEE STREET SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||