Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06796 | Date 05/11/2019 |
| Token No | SM/19-20/12741 05/11/2019 | Serial | 115 Last Visit: 05/11/2019 |
| Patient Name | Master MD ALI | Contact No | 8444846628 |
| Address | 48 N.N RAY STREET SERAMPORE | Age | 3.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||