Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11307 | Date 20/07/2022 |
| Token No | SM/22-23/14829 20/07/2022 | Serial | 028 Last Visit: 20/07/2022 |
| Patient Name | Master TUHIN SAMANTA | Contact No | 9163942016 |
| Address | 36C, A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||