Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10685 | Date 18/02/2022 |
| Token No | SM/21-22/10001 18/02/2022 | Serial | 056 Last Visit: 18/02/2022 |
| Patient Name | Master PRIYANSHU SINGH | Contact No | 8017621337 |
| Address | 10 M G ROAD ROY GHAT SERAMPORE | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||