Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09139 | Date 07/01/2021 |
| Token No | SM/20-21/30322 03/03/2021 | Serial | 031 Last Visit: 05/08/2021 |
| Patient Name | Master SK MUSTAFA | Contact No | 9330577268 |
| Address | CHATRA KUMAR PARA SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||