Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07743 | Date 11/03/2020 |
| Token No | SM/19-20/19376 11/03/2020 | Serial | 039 Last Visit: 11/03/2020 |
| Patient Name | Master SOUMADIP DAS | Contact No | 8240906071 |
| Address | 11/A CHATRA DUTTAS LANE SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||