Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07126 | Date 12/12/2019 |
| Token No | SM/19-20/15242 14/12/2019 | Serial | 007 Last Visit: 14/12/2019 |
| Patient Name | Master KARAN SHAW | Contact No | 9330829764 |
| Address | 23 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 3.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||