Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06293 | Date 31/08/2019 |
| Token No | SM/19-20/9574 31/08/2019 | Serial | 055 Last Visit: 31/08/2019 |
| Patient Name | Master PURAB DAS | Contact No | 9874612605 |
| Address | KSHUDIRAMPALLY , KANAGARH , NALDANGAR, CHINSURAH | Age | 3.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||