Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05891 | Date 22/07/2019 |
| Token No | SM/19-20/14123 27/11/2019 | Serial | 032 Last Visit: 27/11/2019 |
| Patient Name | Mr. ISHAN BISWAS | Contact No | 7449772911 |
| Address | 58Y TARAPUKUR GOVT QUATER | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||