Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07851 | Date 19/03/2020 |
| Token No | SM/19-20/19931 19/03/2020 | Serial | 034 Last Visit: 19/03/2020 |
| Patient Name | Mr. SK INTAJ | Contact No | 9088505110 |
| Address | 28 LAIBRARY LANE SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||