Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09882 | Date 27/07/2021 |
| Token No | SM/21-22/3560 27/07/2021 | Serial | 037 Last Visit: 27/07/2021 |
| Patient Name | Mr. VIVEK SINGH | Contact No | 6291463026 |
| Address | M.G ROAD SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||