Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07783 | Date 13/03/2020 |
| Token No | SM/19-20/19589 13/03/2020 | Serial | 063 Last Visit: 13/03/2020 |
| Patient Name | Mr. RIJIT GHOSH | Contact No | 7044500674 |
| Address | 65 N N ROY STREET | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||