Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09540 | Date 26/04/2021 |
| Token No | SM/21-22/5018 13/09/2021 | Serial | 008 Last Visit: 13/09/2021 |
| Patient Name | Master SANJAY PRASAD | Contact No | 9088663762 |
| Address | 55 NO. ROY LAND ROAD SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||