Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09565 | Date 30/04/2021 |
| Token No | SM/21-22/1040 30/04/2021 | Serial | 034 Last Visit: 30/04/2021 |
| Patient Name | Master BISWANATH MALIK | Contact No | 8910513962 |
| Address | 59/B GHOSH R5OAD CHATRA SERAMPORE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||