Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 03797 | Date 22/02/2019 |
| Token No | SM/21-22/7570 08/12/2021 | Serial | 024 Last Visit: 25/07/2022 |
| Patient Name | Mr. ARMAN GAZI | Contact No | 9748507037 |
| Address | 50/J KAJI PARA , BAIDYABATI(M) | Age | 13YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||