Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11959 | Date 09/03/2023 |
| Token No | SM/22-23/20508 09/03/2023 | Serial | 045 Last Visit: 09/03/2023 |
| Patient Name | Mr. SK SAHID | Contact No | 9330624563 |
| Address | 12/A MUSALMAN PARA BYE LANE SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||