Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02422 | Date 08/12/2018 |
| Token No | SM/19-20/25017 19/08/2020 | Serial | 029 Last Visit: 19/08/2020 |
| Patient Name | Master SK HUSSEN ALI | Contact No | 6289464392 |
| Address | BAROBELU SARDAR PARA, BELUMILKI SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||