Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11691 | Date 21/11/2022 |
| Token No | SM/22-23/18087 21/11/2022 | Serial | 026 Last Visit: 21/11/2022 |
| Patient Name | Master SK SALMANUDDIN | Contact No | 6289688212 |
| Address | 12/A CHATRA MUSALMAN PARA SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||