Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05504 | Date 21/06/2019 |
| Token No | SM/21-22/4214 19/08/2021 | Serial | 020 Last Visit: 23/10/2021 |
| Patient Name | Master SK SAHABUL | Contact No | 9874770573 |
| Address | 21 MUSALMAN PARA ROAD,SERAMPORE | Age | 3 YER Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||