Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07698 | Date 04/03/2020 |
| Token No | SM/19-20/19043 04/03/2020 | Serial | 017 Last Visit: 30/09/2020 |
| Patient Name | Master ANKUSH DHARA | Contact No | 7890628121 |
| Address | 49A DAKSHIN BHATTCHARJEE PARA CHATRA , BAIDYABATI(M) | Age | 3.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||