Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10306 | Date 18/11/2021 |
| Token No | SM/21-22/6933 18/11/2021 | Serial | 020 Last Visit: 18/11/2021 |
| Patient Name | Master MUSHTUFA | Contact No | |
| Address | KUMAR PARA CHATRA SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||