Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08596 | Date 28/07/2020 |
| Token No | SM/19-20/24555 28/07/2020 | Serial | 038 Last Visit: 28/07/2020 |
| Patient Name | Mr. HIMANIS SAMADDAR | Contact No | 8697364267 |
| Address | 45 GURU GARDEN ROAD PRABHAS NAGAR SERAMPORE | Age | 5.3 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||