Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09940 | Date 14/08/2021 |
| Token No | SM/21-22/4052 14/08/2021 | Serial | 011 Last Visit: 14/08/2021 |
| Patient Name | Mr. ISHAN BAIDYA | Contact No | 9674175417 |
| Address | 78/BAGER BAGAN SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||