Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07399 | Date 22/01/2020 |
| Token No | SM/19-20/17042 22/01/2020 | Serial | 023 Last Visit: 22/01/2020 |
| Patient Name | Master PRADIP PATRA | Contact No | 7044353922 |
| Address | BARA BAGBATI PARA , SINGUR | Age | 4.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||