Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06280 | Date 30/08/2019 |
| Token No | SM/19-20/9493 30/08/2019 | Serial | 065 Last Visit: 30/08/2019 |
| Patient Name | Master SAIRAB HALDAR | Contact No | 9088138591 |
| Address | BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||