Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10835 | Date 24/03/2022 |
| Token No | SM/21-22/11042 24/03/2022 | Serial | 003 Last Visit: 17/06/2022 |
| Patient Name | Master SAHIL | Contact No | 9674154955 |
| Address | 85.A.P.GHOSH ROAD CHATRA SERAMPORE | Age | 7YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||