Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06821 | Date 09/11/2019 |
| Token No | SM/19-20/12925 09/11/2019 | Serial | 003 Last Visit: 09/11/2019 |
| Patient Name | Master ASMIT MONDAL | Contact No | 8961247720 |
| Address | 26/A CHAKRABORTY LANE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||