Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10579 | Date 18/01/2022 |
| Token No | SM/21-22/9067 18/01/2022 | Serial | 024 Last Visit: 18/01/2022 |
| Patient Name | Mr. KINJAL DEY | Contact No | 8582889969 |
| Address | 2,P.N CHAKRABARTY LANE SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | 120 cm BMI: 15.972222 |
| Diagnosis | |||