Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08037 | Date 07/04/2020 |
| Token No | SM/19-20/20850 07/04/2020 | Serial | 028 Last Visit: 31/12/2021 |
| Patient Name | Mr. SAYAN SINGHA | Contact No | 9674111790 |
| Address | 18/2/A BARABAGAN LANE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||