Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10422 | Date 15/12/2021 |
| Token No | SM/21-22/7806 15/12/2021 | Serial | 030 Last Visit: 15/12/2021 |
| Patient Name | Mr. PRINCE SHAW | Contact No | |
| Address | TIN BAZAR SERAMPORE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | 136 cm BMI: 14.057093 |
| Diagnosis | |||