Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 09374 | Date 20/03/2021 |
| Token No | SM/20-21/30991 20/03/2021 | Serial | 020 Last Visit: 20/03/2021 |
| Patient Name | Master TUHIN SINGH | Contact No | 8276902096 |
| Address | 25/15 KAJIPARA LANE BAIDYABATI M | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||