Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11893 | Date 28/01/2023 |
| Token No | SM/22-23/20076 28/01/2023 | Serial | 024 Last Visit: 28/01/2023 |
| Patient Name | Master SK MIJANUR | Contact No | 7595915797 |
| Address | 127 A.P. GHOSH ROAD | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||