Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07909 | Date 24/03/2020 |
| Token No | SM/22-23/17050 23/09/2022 | Serial | 039 Last Visit: 23/09/2022 |
| Patient Name | Master SNEHANSHU MANNA | Contact No | 6291049797 |
| Address | 272 J.T. ROAD CHATRA BAUBAJAR | Age | 6+ YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||