Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07930 | Date 26/03/2020 |
| Token No | SM/19-20/20290 26/03/2020 | Serial | 002 Last Visit: 26/03/2020 |
| Patient Name | Master SUJAY RAM SINHG | Contact No | |
| Address | 1 MUSALMAN PARA LANE,SERAMPORE | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||