Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07478 | Date 05/02/2020 |
| Token No | SM/19-20/17646 05/02/2020 | Serial | 022 Last Visit: 05/02/2020 |
| Patient Name | Master SK FAIZAL ALI | Contact No | 9330039267 |
| Address | 39 KHANDAKAR PARA,SEORAPHULI,BAIDYABATI(M) | Age | 1 Y 2 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||