Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07531 | Date 13/02/2020 |
| Token No | SM/19-20/18012 13/02/2020 | Serial | 031 Last Visit: 13/02/2020 |
| Patient Name | Master RIJU SHAW | Contact No | 6289202025 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||