Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06898 | Date 18/11/2019 |
| Token No | SM/19-20/13498 18/11/2019 | Serial | 073 Last Visit: 02/03/2023 |
| Patient Name | Mr. LOKESH CHANDRA PAL | Contact No | 9051108175 |
| Address | 5 KUMAR PARA LANE CHATRA SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||