Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01037 | Date 11/09/2018 |
| Token No | SM/19-20/16189 03/01/2020 | Serial | 038 Last Visit: 08/01/2020 |
| Patient Name | Mr. HARDIK CHATTOPADHYAY | Contact No | 9051677309 |
| Address | 10, DR. P.N MUKHERJEE STREET CHATRA | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||