Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07000 | Date 27/11/2019 |
| Token No | SM/19-20/14151 27/11/2019 | Serial | 060 Last Visit: 27/11/2019 |
| Patient Name | Mr. SHIBAM GHOSH | Contact No | 8981587064 |
| Address | 5 SUDHER CHANDRA ROY LANE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||