Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06059 | Date 06/08/2019 |
| Token No | SM/19-20/7980 06/08/2019 | Serial | 001 Last Visit: 06/08/2019 |
| Patient Name | Mr. SOUMODITTA PAL | Contact No | 8961110223 |
| Address | 12 DR, G. C. GOSWAMI STREET, | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||