Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07451 | Date 01/02/2020 |
| Token No | SM/19-20/17437 01/02/2020 | Serial | 048 Last Visit: 01/02/2020 |
| Patient Name | Mr. SURESH DAS | Contact No | 7595918134 |
| Address | 30 BHADURI PARA CHATRA SERAMPORE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||