Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04543 | Date 04/04/2019 |
| Token No | SM/19-20/234 04/04/2019 | Serial | 023 Last Visit: 04/04/2019 |
| Patient Name | Master PRIYAJIT DUTTA | Contact No | 9748032965 |
| Address | CHATRA BAGER BAGAN SERAMPORE | Age | 4.10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||