Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07497 | Date 07/02/2020 |
| Token No | SM/19-20/17745 07/02/2020 | Serial | 018 Last Visit: 07/02/2020 |
| Patient Name | Master ABHRA MALAKAR | Contact No | 8335986059 |
| Address | 18G.D. BBHATTACHARYA LANE,CHATRA,BAIDYABATI(M) | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||