Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05200 | Date 22/05/2019 |
| Token No | SM/19-20/3228 22/05/2019 | Serial | 069 Last Visit: 22/05/2019 |
| Patient Name | Mr. RAKESH SINGH | Contact No | 7059363285 |
| Address | SHEWRAPHULI CHARA BAGAN , BAIDYABATI (M) | Age | 9.6YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||