Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01003 | Date 08/09/2018 |
| Token No | SM/19-20/7008 22/07/2019 | Serial | 026 Last Visit: 03/02/2021 |
| Patient Name | Master PRATYUSH DEB | Contact No | 9475055858 |
| Address | A.P GHOSH ROAD | Age | 4.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||