Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08784 | Date 26/09/2020 |
| Token No | SM/21-22/11102 26/03/2022 | Serial | 013 Last Visit: 26/03/2022 |
| Patient Name | Master NUR ISLAM | Contact No | 6290333544 |
| Address | 56 N N ROY STREET SERAMPORE | Age | 3.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||