Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10231 | Date 25/10/2021 |
| Token No | SM/21-22/6233 25/10/2021 | Serial | 055 Last Visit: 25/10/2021 |
| Patient Name | Mr. MD KASHIS | Contact No | 9062312206 |
| Address | K.M BHATTACHARYA STREET SERAMPORE | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||