Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09266 | Date 02/03/2021 |
| Token No | SM/20-21/30275 02/03/2021 | Serial | 038 Last Visit: 02/03/2021 |
| Patient Name | Mr. AKASH MAJUMDAR | Contact No | 9123373328 |
| Address | 51/1/1 BAGHER BAGAN CHATRA, BAIDYABATI(M) | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||