Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11364 | Date 29/07/2022 |
| Token No | SM/22-23/15169 29/07/2022 | Serial | 014 Last Visit: 29/07/2022 |
| Patient Name | Master MIRISLAM | Contact No | 9635075965 |
| Address | MURSHIDABAD | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||