Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09923 | Date 11/08/2021 |
| Token No | SM/21-22/3938 11/08/2021 | Serial | 001 Last Visit: 11/08/2021 |
| Patient Name | Mr. SK SAHIL | Contact No | 8617250257 |
| Address | CHATRA MUSHALMAN PARA SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||