Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09362 | Date 19/03/2021 |
| Token No | SM/20-21/30950 19/03/2021 | Serial | 059 Last Visit: 19/03/2021 |
| Patient Name | Master KRISH PAL | Contact No | 9748626087 |
| Address | 46 DR.G.C.GOSWAMI STREET | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||