Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08928 | Date 04/11/2020 |
| Token No | SM/20-21/27223 06/11/2020 | Serial | 011 Last Visit: 06/11/2020 |
| Patient Name | Mr. SAMRAT KUNDU | Contact No | 7890740434 |
| Address | 39 G T ROAD MADAMBAGAN SERAMPORE | Age | 2 .6 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||