Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11704 | Date 23/11/2022 |
| Token No | SM/22-23/18190 23/11/2022 | Serial | 037 Last Visit: 04/01/2023 |
| Patient Name | Master SHAKYA DEY | Contact No | 8100291539 |
| Address | 12 NO THAKUR DAS BABU LANE | Age | 20 DAY Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||