Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05915 | Date 24/07/2019 |
| Token No | SM/19-20/7163 24/07/2019 | Serial | 005 Last Visit: 24/07/2019 |
| Patient Name | Master RABIUL MALIK | Contact No | 7044231041 |
| Address | CHATRA KANAHAI DEWAN TALA ,SERAMPORE | Age | 5 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||