Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09836 | Date 13/07/2021 |
| Token No | SM/21-22/3111 13/07/2021 | Serial | 018 Last Visit: 13/07/2021 |
| Patient Name | Mr. TUSAR DAS | Contact No | |
| Address | 18.K.M BHATTACHARYA STREET SERAMPORE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||