Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07473 | Date 04/02/2020 |
| Token No | SM/19-20/18164 15/02/2020 | Serial | 063 Last Visit: 15/02/2020 |
| Patient Name | Mr. DEBOTTAM MUKERJEE | Contact No | 9903742914 |
| Address | 6 A CHAMPATALA LANE, | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||