Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00232 | Date 08/08/2018 |
| Token No | SM/19-20/25133 25/08/2020 | Serial | 013 Last Visit: 02/05/2024 |
| Patient Name | Master SANU PAL | Contact No | |
| Address | G.T. ROAD | Age | 6 Years,4 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||