Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01609 | Date 10/10/2018 |
| Token No | SM/21-22/4454 26/08/2021 | Serial | 038 Last Visit: 10/01/2022 |
| Patient Name | Mr. SAYAN MONDAL | Contact No | 9804244619 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI (M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||