Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06971 | Date 23/11/2019 |
| Token No | SM/19-20/13859 23/11/2019 | Serial | 054 Last Visit: 23/11/2019 |
| Patient Name | Master AYUSH DAS | Contact No | 6289467503 |
| Address | 84, 3 NO LAHANAGAR COLONY , BAIDYABATI(M) | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||