Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04728 | Date 17/04/2019 |
| Token No | SM/19-20/10818 21/09/2019 | Serial | 027 Last Visit: 21/09/2019 |
| Patient Name | Mr. SUGATA BISWAS | Contact No | 7890991151 |
| Address | 16 K.M SAHA STREET SERAMPORE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||