Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06956 | Date 22/11/2019 |
| Token No | SM/19-20/23402 25/06/2020 | Serial | 041 Last Visit: 25/06/2020 |
| Patient Name | Mr. AARYA SOM | Contact No | 8902601090 |
| Address | DUTTAS LANE CHATRA SERAMPORE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||