Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10847 | Date 29/03/2022 |
| Token No | SM/22-23/11533 08/04/2022 | Serial | 007 Last Visit: 18/04/2022 |
| Patient Name | Master SUBHO DUTTA | Contact No | 7044360635 |
| Address | BAGHER BAGAN,BAIDYABATI(M) | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||