Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06438 | Date 16/09/2019 |
| Token No | SM/19-20/10509 16/09/2019 | Serial | 110 Last Visit: 16/09/2019 |
| Patient Name | Mr. SUKUMAL KOLEY | Contact No | 9163881993 |
| Address | 59 MUKHERJEE PARA LANE SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||