Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07809 | Date 16/03/2020 |
| Token No | SM/19-20/24476 27/07/2020 | Serial | 015 Last Visit: 27/07/2020 |
| Patient Name | Mr. MEMO KUNDU | Contact No | 9062067241 |
| Address | 11A CHATRA MUSALMAN PARA ROAD SERAMPORE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||