Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11478 | Date 24/08/2022 |
| Token No | SM/22-23/15971 24/08/2022 | Serial | 013 Last Visit: 24/08/2022 |
| Patient Name | Mr. SK ROAHA | Contact No | 9051664481 |
| Address | 34,MUSHALMAN PARA SERASMPORE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||