Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08249 | Date 12/05/2020 |
| Token No | SM/19-20/25290 28/08/2020 | Serial | 044 Last Visit: 01/12/2020 |
| Patient Name | Master RAHUL ROY | Contact No | 9051075728 |
| Address | 16 RAJA K L GOSWAMI STREET | Age | 1Y 9 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||