Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10708 | Date 22/02/2022 |
| Token No | SM/21-22/10137 22/02/2022 | Serial | 037 Last Visit: 22/02/2022 |
| Patient Name | Mr. SOUMYADEEP MAJHI | Contact No | 9883793602 |
| Address | 16/A GODAR BAGAN ,BAIDYABATI(M) | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||