Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06908 | Date 19/11/2019 |
| Token No | SM/19-20/13554 19/11/2019 | Serial | 051 Last Visit: 19/11/2019 |
| Patient Name | Mr. RIYAN CHAKRABORTY | Contact No | 7278787629 |
| Address | 50 KUMIR JELA ROAD SERAMPORE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||