Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11223 | Date 04/07/2022 |
| Token No | SM/22-23/14286 04/07/2022 | Serial | 057 Last Visit: 19/07/2022 |
| Patient Name | Master MD ARMAN | Contact No | 7890911708 |
| Address | 19/20 KANHAI DEWAN TALA LANE, BAIDYABATI(M) | Age | 1.15 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||