Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05724 | Date 10/07/2019 |
| Token No | SM/19-20/6227 10/07/2019 | Serial | 095 Last Visit: 15/07/2019 |
| Patient Name | Mr. SOHAM LAHA | Contact No | 9330021570 |
| Address | BARUI PARA LANE SERAMPORE (M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||