Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05939 | Date 24/07/2019 |
| Token No | SM/19-20/7238 24/07/2019 | Serial | 080 Last Visit: 24/07/2019 |
| Patient Name | Mr. PIJUSH MUKHERJEE | Contact No | 9007120811 |
| Address | CHATRA GODAR BAGAN | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||