Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05704 | Date 08/07/2019 |
| Token No | SM/19-20/6085 08/07/2019 | Serial | 058 Last Visit: 25/04/2022 |
| Patient Name | Master ASTA MALLICK | Contact No | |
| Address | CHATRA KALIBABU GHAT SERAMPORE | Age | 8.5 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||