Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03410 | Date 06/02/2019 |
| Token No | SM/19-20/15890 26/12/2019 | Serial | 021 Last Visit: 22/09/2021 |
| Patient Name | Mr. RIDDHI PAL | Contact No | 9674523263 |
| Address | 24A CHATRA KUAMR PARA | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||