Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03358 | Date 04/02/2019 |
| Token No | SM/19-20/5870 05/07/2019 | Serial | 033 Last Visit: 13/04/2021 |
| Patient Name | Master RAKIP MALIK | Contact No | 9007653367 |
| Address | CHATRA DUTTA PARA | Age | 2 Y 6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||