Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09393 | Date 25/03/2021 |
| Token No | SM/20-21/31185 25/03/2021 | Serial | 043 Last Visit: 25/03/2021 |
| Patient Name | Master SAYAN DAS | Contact No | 9831155440 |
| Address | 407,G.T ROAD CHATRA ,SERAMPORE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||