Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07848 | Date 19/03/2020 |
| Token No | SM/19-20/19915 19/03/2020 | Serial | 018 Last Visit: 19/03/2020 |
| Patient Name | Mr. SHIVSENDHU HALDAR | Contact No | 6290512983 |
| Address | 85 A.P GHOSH ROAD CHATRA SERAMPORE HOOGHLY | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||