Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05667 | Date 05/07/2019 |
| Token No | SM/19-20/5897 05/07/2019 | Serial | 060 Last Visit: 05/07/2019 |
| Patient Name | Mr. SK MOSARAF | Contact No | 9748308389 |
| Address | MOLLA SIMLA HOOGHLY | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||