Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11599 | Date 20/09/2022 |
| Token No | SM/22-23/16946 20/09/2022 | Serial | 040 Last Visit: 17/12/2022 |
| Patient Name | Master SARAFAT ALI | Contact No | |
| Address | 25/C CHATRA KANAHAI DEWAN TALA , SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||