Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06900 | Date 19/11/2019 |
| Token No | SM/19-20/18669 26/02/2020 | Serial | 012 Last Visit: 26/02/2020 |
| Patient Name | Master MAYANK PAL | Contact No | 7003942160 |
| Address | 38/4/1, N.S ROAD, RISHRA(M) | Age | 3.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||