Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06107 | Date 10/08/2019 |
| Token No | SM/19-20/8317 10/08/2019 | Serial | 038 Last Visit: 10/08/2019 |
| Patient Name | Master DRISHAN GHOSH | Contact No | 8479868297 |
| Address | 4A CHATRA DHARMOTLA BYE LANE , SERAMPORE | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||