Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09921 | Date 09/08/2021 |
| Token No | SM/21-22/3906 09/08/2021 | Serial | 056 Last Visit: 09/08/2021 |
| Patient Name | Master ROHIT GHOSH | Contact No | 9674309161 |
| Address | 16,RAJA K.L GHOSWAMI STREET SERAMPORE | Age | 1 Y 2 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||