Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07360 | Date 17/01/2020 |
| Token No | SM/19-20/17621 04/02/2020 | Serial | 058 Last Visit: 04/02/2020 |
| Patient Name | Master SK AYUSHMAN ALI | Contact No | 9674547940 |
| Address | 19/C CHATRA KUMAR PARA , SERAMPORE | Age | 5 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||