Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07832 | Date 18/03/2020 |
| Token No | SM/19-20/19833 18/03/2020 | Serial | 007 Last Visit: 18/03/2020 |
| Patient Name | Mr. ARIYAN DAS | Contact No | 8981195636 |
| Address | 8, KANAI DEWAN TALA BYE LANE, PIARAPUR(P), SHEORAPHULI, SERAMPORE | Age | 6.4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||