Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04786 | Date 20/04/2019 |
| Token No | SM/19-20/1247 20/04/2019 | Serial | 068 Last Visit: 20/04/2019 |
| Patient Name | Master DEBANSHU HAZRA | Contact No | 7890575510 |
| Address | CHARA BAGAN BAURI PARA , BAIDYABATI(M) | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||