Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07734 | Date 07/03/2020 |
| Token No | SM/21-22/4705 03/09/2021 | Serial | 025 Last Visit: 03/09/2021 |
| Patient Name | Master KRISTHT PAL | Contact No | 9748626087 |
| Address | 46 GOSWAMI STREET | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||