Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07915 | Date 24/03/2020 |
| Token No | SM/19-20/20571 31/03/2020 | Serial | 041 Last Visit: 31/03/2020 |
| Patient Name | Mr. ARPAN DAS | Contact No | 9748624137 |
| Address | 2 DOCTOR BAGAN LANE SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||