Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05019 | Date 04/05/2019 |
| Token No | SM/19-20/11494 01/10/2019 | Serial | 112 Last Visit: 01/10/2019 |
| Patient Name | Master ABHIRAJ MUKHERJEE | Contact No | 9239879963 |
| Address | 13, RAJA K. L. GOSWAMI STREET | Age | 4.5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||