Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05321 | Date 03/06/2019 |
| Token No | SM/19-20/3905 03/06/2019 | Serial | 028 Last Visit: 03/06/2019 |
| Patient Name | Master ARYAN MALLICK | Contact No | 8100412101 |
| Address | BANGIHATI SERAMPORE | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||