Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05372 | Date 10/06/2019 |
| Token No | SM/19-20/4287 10/06/2019 | Serial | 069 Last Visit: 10/06/2019 |
| Patient Name | Mr. SK ROHAN | Contact No | 9836788739 |
| Address | SERAMPORE TIKIYA PARA 34 MUSALMANPARA LANE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||