Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10185 | Date 07/10/2021 |
| Token No | SM/21-22/5858 07/10/2021 | Serial | 041 Last Visit: 07/10/2021 |
| Patient Name | Mr. SOUMYANIL DAS | Contact No | 7980619886 |
| Address | SERAMPORE CHATRA | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||