Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09737 | Date 22/06/2021 |
| Token No | SM/21-22/2443 22/06/2021 | Serial | 032 Last Visit: 22/06/2021 |
| Patient Name | Master SK ANSAR | Contact No | 6291491910 |
| Address | BELUMILKI SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||