Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07261 | Date 31/12/2019 |
| Token No | SM/19-20/16070 31/12/2019 | Serial | 012 Last Visit: 31/12/2019 |
| Patient Name | Master SK ARMAN | Contact No | 8334086046 |
| Address | 22 FAKIR PARA BAIDYABATI | Age | 1.7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||