Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07813 | Date 16/03/2020 |
| Token No | SM/19-20/19733 16/03/2020 | Serial | 057 Last Visit: 16/03/2020 |
| Patient Name | Mr. PRAMIT GHOSH | Contact No | 8910502242 |
| Address | 10A BARO BAAN LANE SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||