Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01840 | Date 01/11/2018 |
| Token No | SM/19-20/879 13/04/2019 | Serial | 039 Last Visit: 29/09/2022 |
| Patient Name | Mr. SUJAY CHOWDHURI | Contact No | 9007226251 |
| Address | 663 G T ROAD | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||