Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06594 | Date 01/10/2019 |
| Token No | SM/19-20/12250 22/10/2019 | Serial | 073 Last Visit: 22/10/2019 |
| Patient Name | Master REHAN ANSARI | Contact No | 9749788194 |
| Address | POMPA NAGAR,BAIDYABATI(M) | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||