Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04716 | Date 16/04/2019 |
| Token No | SM/19-20/2459 10/05/2019 | Serial | 056 Last Visit: 07/02/2020 |
| Patient Name | Master ADRIZ PANDIT | Contact No | 9830994410 |
| Address | MC ROY BAHDUR STREET CHATRA , SERAMPORE | Age | 1.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||