Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09413 | Date 31/03/2021 |
| Token No | SM/21-22/415 12/04/2021 | Serial | 050 Last Visit: 12/04/2021 |
| Patient Name | Master MEHEBUBUR RAHAMAN | Contact No | 7479200445 |
| Address | MADHYAMGRAM | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||