Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02883 | Date 22/08/2019 |
| Token No | SM/18-19/5858 22/08/2019 | Serial | 036 |
| Patient Name | Master NIKHIL RAM | Contact No | 9038704364 |
| Address | SERAMPORE CHOWDHURY PARA | Age | 5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||