Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09012 | Date 01/12/2020 |
| Token No | SM/20-21/27962 01/12/2020 | Serial | 064 Last Visit: 19/02/2024 |
| Patient Name | Master SK HALIM | Contact No | 7003316926 |
| Address | 21 CHATRA MUSALMAN PARA SERAMPORE | Age | 2 Years,1 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||