Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10324 | Date 23/11/2021 |
| Token No | SM/21-22/7048 23/11/2021 | Serial | 014 Last Visit: 12/08/2022 |
| Patient Name | Mr. JEET BANDURI | Contact No | 8013146926 |
| Address | 18/A MUKHERJEE PARA BAIDHYABATI | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||