Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07189 | Date 19/12/2019 |
| Token No | SM/19-20/15602 19/12/2019 | Serial | 031 Last Visit: 19/12/2019 |
| Patient Name | Mr. SHIVAM DAS | Contact No | 7450037931 |
| Address | KATA PUL NEW MAHESH , SERAMPORE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||