Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06627 | Date 14/10/2019 |
| Token No | SM/19-20/11670 14/10/2019 | Serial | 064 Last Visit: 13/03/2020 |
| Patient Name | Mr. SWARNABHO CHATTAPADHYAY | Contact No | 9735780542 |
| Address | 31E CHOWDHURY PARA LANE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||