Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05008 | Date 03/05/2019 |
| Token No | SM/19-20/2124 03/05/2019 | Serial | 028 Last Visit: 03/05/2019 |
| Patient Name | Mr. FARHAN ALI | Contact No | 8240852522 |
| Address | CHATRA KUMER PARA, SERAMPORE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||