Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07701 | Date 04/03/2020 |
| Token No | SM/19-20/19062 04/03/2020 | Serial | 036 Last Visit: 04/03/2020 |
| Patient Name | Master DEEHAN GUHA | Contact No | 7980837173 |
| Address | 8A CHOWDHURI PARA BEY LANE | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||