Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11378 | Date 01/08/2022 |
| Token No | SM/22-23/15282 01/08/2022 | Serial | 027 Last Visit: 01/08/2022 |
| Patient Name | Mr. MD RAFIUL ISLAM | Contact No | 9806788965 |
| Address | 1 DR CHATTERJEE BYE LANE SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||