Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07262 | Date 31/12/2019 |
| Token No | SM/19-20/16102 31/12/2019 | Serial | 044 Last Visit: 31/12/2019 |
| Patient Name | Master SK AMEER | Contact No | 9748769244 |
| Address | 7A ARBINDA SARANI CHATRA SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||