Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07334 | Date 14/01/2020 |
| Token No | SM/19-20/16678 14/01/2020 | Serial | 007 Last Visit: 25/02/2020 |
| Patient Name | Master SK ROHAN MISTRI | Contact No | 9875427846 |
| Address | 20 KANAI DEWAN TALA LANE CHATRA SERAMPORE | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||