Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11296 | Date 19/07/2022 |
| Token No | SM/22-23/19632 10/01/2023 | Serial | 030 Last Visit: 10/01/2023 |
| Patient Name | Master AKASH BISWAS | Contact No | 9875694351 |
| Address | 46/1 SATCHASHI PARA CHATRA BAIDYABATI(M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||