Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04030 | Date 06/03/2019 |
| Token No | SM/21-22/4114 16/08/2021 | Serial | 038 Last Visit: 26/09/2023 |
| Patient Name | Mr. SUROJEET SARDAR | Contact No | 9007680896 |
| Address | BHATCHARJEE GARDEN SADGOB PARA | Age | 8 Years,8 Months,24 Days Other |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||