Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11747 | Date 08/12/2022 |
| Token No | SM/22-23/18691 08/12/2022 | Serial | 020 Last Visit: 08/12/2022 |
| Patient Name | Master ANKUSH CHOWDHURY | Contact No | 8777260847 |
| Address | 9/E/B,BARABAGAN LANE | Age | 11 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||