Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07064 | Date 03/12/2019 |
| Token No | SM/19-20/14612 03/12/2019 | Serial | 095 Last Visit: 03/12/2019 |
| Patient Name | Master ANURAG JANA | Contact No | 6280429078 |
| Address | CHATRA BAGER BAGAN, BAIDYBATI(M) | Age | 2. YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||