Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07606 | Date 22/02/2020 |
| Token No | SM/19-20/18518 22/02/2020 | Serial | 041 Last Visit: 22/02/2020 |
| Patient Name | Mr. RAJ MONDAL | Contact No | 8420843440 |
| Address | 116 TELIPARA , BAIDYABATI(M) | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||