Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06146 | Date 19/08/2019 |
| Token No | SM/19-20/8584 19/08/2019 | Serial | 038 Last Visit: 19/08/2019 |
| Patient Name | Mr. SK RAYAN BADSHAH | Contact No | 9051339807 |
| Address | 17 CHATRA KUMAR PARA, SERAMPORE | Age | 9 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||