Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07771 | Date 13/03/2020 |
| Token No | SM/19-20/19998 20/03/2020 | Serial | 035 Last Visit: 20/03/2020 |
| Patient Name | Mr. SAYAN DAS | Contact No | 9038192618 |
| Address | CHATRA TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||