Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08000 | Date 02/04/2020 |
| Token No | SM/19-20/20646 02/04/2020 | Serial | 025 Last Visit: 02/04/2020 |
| Patient Name | Master MD.AANISH | Contact No | 7044017754 |
| Address | 60/A N.N ROY STREET SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||