Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04834 | Date 22/04/2019 |
| Token No | SM/19-20/1404 22/04/2019 | Serial | 119 Last Visit: 22/04/2019 |
| Patient Name | Mr. RAJU MALAKAR | Contact No | 6235648455 |
| Address | CHOTO BELUR KAL TALA | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||