Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10792 | Date 12/03/2022 |
| Token No | SM/21-22/10729 12/03/2022 | Serial | 030 Last Visit: 12/03/2022 |
| Patient Name | Master SANJU KAYAL | Contact No | 7890738026 |
| Address | TELIPARA BAGER BAGAN CHATRA BAIYABATI (M) SERAMPORE | Age | 1.3 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||