Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10500 | Date 05/01/2022 |
| Token No | SM/21-22/8512 05/01/2022 | Serial | 024 Last Visit: 05/01/2022 |
| Patient Name | Master REETABRATO SINGH | Contact No | 9051161685 |
| Address | 14 DAKSHIN BHATTACHARJEE PARA CHATRA BAIDYABATI M | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | 136 cm BMI: 18.923010 |
| Diagnosis | |||