Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07628 | Date 25/02/2020 |
| Token No | SM/21-22/4323 24/08/2021 | Serial | 012 Last Visit: 24/08/2021 |
| Patient Name | Mr. SOHEL RAHAMAN KHAN | Contact No | 8250506143 |
| Address | 20,CHATRA KANAI DEWANTALA SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||