Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07911 | Date 24/03/2020 |
| Token No | SM/19-20/20221 24/03/2020 | Serial | 042 Last Visit: 24/03/2020 |
| Patient Name | Master ARNNA PANDA | Contact No | 9433125738 |
| Address | P.N. MUKHERJEE STREET CHATRA SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||