Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04886 | Date 24/04/2019 |
| Token No | SM/19-20/1551 24/04/2019 | Serial | 021 Last Visit: 24/04/2019 |
| Patient Name | Master UJAN RAY CHOWDHURY | Contact No | 9903958304 |
| Address | 160 N.S AVENUE SERAMPORE | Age | 2.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||