Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08238 | Date 09/05/2020 |
| Token No | SM/19-20/22080 09/05/2020 | Serial | 025 Last Visit: 09/05/2020 |
| Patient Name | Mr. SUVHAM DAS | Contact No | 9163428440 |
| Address | 3/168 MASHES KOLONI | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||