Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00634 | Date 23/08/2018 |
| Token No | SM/18-19/759 23/08/2018 | Serial | 008 Last Visit: 22/08/2024 |
| Patient Name | Master ARKO PALCHINA | Contact No | 9088388538 |
| Address | 12G/2 ARBINDO SARNI CHATRA KUMOR PARA | Age | 8 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||