Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04678 | Date 12/04/2019 |
| Token No | SM/20-21/28285 10/12/2020 | Serial | 015 Last Visit: 10/12/2020 |
| Patient Name | Master PRIYANSHU SINGH | Contact No | 7059363285 |
| Address | SHEWRAPHULI CHARA BAGAN , BAIDYABATI (M) | Age | 8 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||