Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04463 | Date 29/03/2019 |
| Token No | SM/19-20/139 02/04/2019 | Serial | 077 Last Visit: 03/06/2019 |
| Patient Name | Master ISHAN GHOSH | Contact No | 6290755822 |
| Address | 15 N.N RAY STREET SERAMPORE | Age | 9 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8.36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||