Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10132 | Date 25/09/2021 |
| Token No | SM/21-22/5487 25/09/2021 | Serial | 026 Last Visit: 05/03/2022 |
| Patient Name | Mr. SUMIT HAZRA | Contact No | 6291833720 |
| Address | 42,G.T ROAD CHATRA TETUL TALA BAIDHYABATI | Age | 15YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||