Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08320 | Date 09/06/2020 |
| Token No | SM/20-21/26868 19/10/2020 | Serial | 079 Last Visit: 08/01/2022 |
| Patient Name | Master SK JANAT ALI | Contact No | 9330222301 |
| Address | 12 CHATRA MUSALMAN PARA BY LANE SERAMPORE | Age | 4.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||