Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05807 | Date 17/07/2019 |
| Token No | SM/19-20/6665 17/07/2019 | Serial | 037 Last Visit: 17/07/2019 |
| Patient Name | Mr. VEER GUPTA | Contact No | 6289678778 |
| Address | 47 HARISH ROAD,BAIDYABATI(M) | Age | 6.6 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||