Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05969 | Date 26/07/2019 |
| Token No | SM/19-20/22692 02/06/2020 | Serial | 041 Last Visit: 06/01/2022 |
| Patient Name | Master SAYAN MOLLA | Contact No | 6290513618 |
| Address | MILKI BADAM TALA , SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||