Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10760 | Date 08/03/2022 |
| Token No | SM/21-22/10585 08/03/2022 | Serial | 010 Last Visit: 07/09/2022 |
| Patient Name | Master SUBHAM PAL | Contact No | 6289011382 |
| Address | 24/28 KHASBAGAN LANE SHEORAPHULI SERAMPORE | Age | 1YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||