Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10201 | Date 18/10/2021 |
| Token No | SM/21-22/6005 18/10/2021 | Serial | 041 Last Visit: 18/10/2021 |
| Patient Name | Mr. SOURAV CHOWDHURY | Contact No | 6290448865 |
| Address | CHATRA TETULTALA SERAMPORE | Age | 10 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||