Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08368 | Date 17/06/2020 |
| Token No | SM/19-20/23189 17/06/2020 | Serial | 020 Last Visit: 17/06/2020 |
| Patient Name | Master NITIN THAPA | Contact No | 9883060104 |
| Address | 20 LBS ROAD SERAMPORE | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||