Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07528 | Date 13/02/2020 |
| Token No | SM/19-20/18530 24/02/2020 | Serial | 006 Last Visit: 24/02/2020 |
| Patient Name | Master SANJIB ADHIKARY | Contact No | 9800779922 |
| Address | 13/B CHOWDHURY PARA LANE CHATRA SERAMPORE | Age | 1.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||