Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02790 | Date 02/01/2019 |
| Token No | SM/19-20/6522 15/07/2019 | Serial | 065 Last Visit: 14/12/2021 |
| Patient Name | Mr. RISHI ROY | Contact No | 8478061306 |
| Address | 43/B PROVHAH NAGAR | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||