Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06972 | Date 23/11/2019 |
| Token No | SM/19-20/13860 23/11/2019 | Serial | 055 Last Visit: 02/12/2019 |
| Patient Name | Master SOUNAK GHOSH | Contact No | 9874916721 |
| Address | 21 CHATRA BOU BAZAR TELI PARA , BAIDYABATI(M) | Age | 9 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||