Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09826 | Date 09/07/2021 |
| Token No | SM/21-22/3059 09/07/2021 | Serial | 039 Last Visit: 09/07/2021 |
| Patient Name | Master AQIVE HOOSUN | Contact No | 8910284667 |
| Address | 56,N.N ROY STREET SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||