Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04762 | Date 18/04/2019 |
| Token No | SM/19-20/7753 01/08/2019 | Serial | 084 Last Visit: 01/08/2019 |
| Patient Name | Mr. SANJOY PARASAD | Contact No | 8335838497 |
| Address | 55 NO ROY LAND ROAD SERAMPORE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||