Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10927 | Date 18/04/2022 |
| Token No | SM/22-23/11721 18/04/2022 | Serial | 009 Last Visit: 18/04/2022 |
| Patient Name | Master SUROJIT PANDIT | Contact No | 7890161467 |
| Address | CHATRA DASPARA SERAMPORE HOOGHLY | Age | 3YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||