Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09920 | Date 09/08/2021 |
| Token No | SM/21-22/3861 09/08/2021 | Serial | 011 Last Visit: 09/08/2021 |
| Patient Name | Mr. ABHRA MALAKAR | Contact No | 9007670303 |
| Address | 18,G.D BHATTACHARYA LANE CHATRA SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||