Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08107 | Date 18/04/2020 |
| Token No | SM/19-20/21305 18/04/2020 | Serial | 014 Last Visit: 28/08/2021 |
| Patient Name | Master HRIK DAS | Contact No | 7278197473 |
| Address | CHATRA CATCHASI PARA,BAIDYABATI(M) | Age | 3.5 YR Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||