Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05343 | Date 06/06/2019 |
| Token No | SM/19-20/4064 06/06/2019 | Serial | 040 Last Visit: 06/06/2019 |
| Patient Name | Mr. ARNAB SHARMA | Contact No | 7003311250 |
| Address | 11/D,DR,P.N.MUKHERJEE STREET SERAMPORE(M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||