Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06113 | Date 10/08/2019 |
| Token No | SM/19-20/8358 10/08/2019 | Serial | 079 Last Visit: 10/08/2019 |
| Patient Name | Mr. ARUN YADAV | Contact No | 7890390358 |
| Address | 8/6 CHATRA SHITLATALA, BAIDYABATI(M) | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||