Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03898 | Date 27/02/2019 |
| Token No | SM/18-19/9559 27/02/2019 | Serial | 048 Last Visit: 30/09/2023 |
| Patient Name | Mr. SK AMAN ALI | Contact No | 9681981014 |
| Address | 19 C CHATRA KUMARPARA SERAMPORE | Age | 12 Years,5 Months,4 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||