Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10205 | Date 21/10/2021 |
| Token No | SM/21-22/6031 21/10/2021 | Serial | 009 Last Visit: 21/10/2021 |
| Patient Name | Master RUDRA SINGH | Contact No | 9748727856 |
| Address | BAGER BAGAN CHATRA SERAMPORE | Age | 2 MONTHS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||