Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08861 | Date 13/10/2020 |
| Token No | SM/20-21/26625 13/10/2020 | Serial | 042 Last Visit: 13/10/2020 |
| Patient Name | Mr. MAINAK DHAR | Contact No | 8910720542 |
| Address | 33 K.M. BHATTACHARYA STREET,SERAMPORE | Age | 10 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||