Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07589 | Date 20/02/2020 |
| Token No | SM/19-20/18449 20/02/2020 | Serial | 041 Last Visit: 20/02/2020 |
| Patient Name | Master SUBHAANIL DEY | Contact No | 9432239797 |
| Address | 18 CHAPA TALA LANE SERAMPORE | Age | 75 DAYS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 6.28 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||