Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10739 | Date 02/03/2022 |
| Token No | SM/21-22/10376 02/03/2022 | Serial | 022 Last Visit: 02/03/2022 |
| Patient Name | Master MD.RAMJAN | Contact No | |
| Address | 25/C KANAI DEWAN TALA LANE SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||