Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09133 | Date 06/01/2021 |
| Token No | SM/20-21/29541 19/01/2021 | Serial | 035 Last Visit: 19/01/2021 |
| Patient Name | Master SUDIP ADGIRI | Contact No | 9123015530 |
| Address | 486/320 G T ROAD CHATRA SERAMPORE, BAIDYABATI(M) | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||