Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10067 | Date 10/09/2021 |
| Token No | SM/21-22/4952 10/09/2021 | Serial | 008 Last Visit: 04/07/2023 |
| Patient Name | Master REHAN GANGAPUTRA | Contact No | 9123021336 |
| Address | AP. GHOSH ROAD SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||