Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09934 | Date 12/08/2021 |
| Token No | SM/21-22/3995 12/08/2021 | Serial | 025 Last Visit: 12/08/2021 |
| Patient Name | Mr. ALIM MALLICK | Contact No | 8444012446 |
| Address | 8,ARABINDA SARANI CHATRA SERAMPORE | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||