Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08064 | Date 13/04/2020 |
| Token No | SM/19-20/21043 13/04/2020 | Serial | 011 Last Visit: 13/04/2020 |
| Patient Name | Master RETAM GHOSH | Contact No | 8420906620 |
| Address | CHATRA ,MANNA PARA,BAIDYABATI(M) | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||