Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09640 | Date 24/05/2021 |
| Token No | SM/21-22/1643 24/05/2021 | Serial | 021 Last Visit: 24/05/2021 |
| Patient Name | Master SK RAYAN | Contact No | 9330312977 |
| Address | 7 A MUSALMAN PARA BYE LABNE SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||