Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05229 | Date 25/05/2019 |
| Token No | SM/19-20/3422 25/05/2019 | Serial | 048 Last Visit: 25/05/2019 |
| Patient Name | Mr. ANIKET SAHA | Contact No | 9874358570 |
| Address | 10 LBS ROAD SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||