Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05519 | Date 22/06/2019 |
| Token No | SM/19-20/5067 22/06/2019 | Serial | 028 Last Visit: 22/06/2019 |
| Patient Name | Mr. PRASHANT JHA | Contact No | 9681059453 |
| Address | N.N RAY STREET SERAMPORE | Age | 8 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||