Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04604 | Date 08/04/2019 |
| Token No | SM/19-20/456 08/04/2019 | Serial | 020 Last Visit: 08/04/2019 |
| Patient Name | Master ROHIT SHAW | Contact No | |
| Address | CHARA BAGAN BAURIYA PARA , BAIDYABATI(M) | Age | 1.1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||