Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07700 | Date 04/03/2020 |
| Token No | SM/19-20/19061 04/03/2020 | Serial | 035 Last Visit: 04/03/2020 |
| Patient Name | Mr. KINSHUK GUHA | Contact No | 7980837173 |
| Address | 8A CHOWDHURI PARA BEY LANE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||