Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10142 | Date 27/09/2021 |
| Token No | SM/21-22/5540 27/09/2021 | Serial | 038 Last Visit: 27/09/2021 |
| Patient Name | Mr. SUBHANKAR PAL | Contact No | 9681529980 |
| Address | CHATRA TETULTALA BAGAN SERAMPORE HOOGLY | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||