Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08376 | Date 17/06/2020 |
| Token No | SM/19-20/23200 17/06/2020 | Serial | 031 Last Visit: 17/06/2020 |
| Patient Name | Master SK AYAN | Contact No | 9874255821 |
| Address | 45 N.N ROY STREET SERAMPORE | Age | 2 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||