Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10417 | Date 14/12/2021 |
| Token No | SM/21-22/7749 14/12/2021 | Serial | 010 Last Visit: 14/12/2021 |
| Patient Name | Master AGRAJEET DUTTA | Contact No | 8697696878 |
| Address | 93B BARUIPARA LANE | Age | 4.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||