Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07842 | Date 18/03/2020 |
| Token No | SM/22-23/20917 30/03/2023 | Serial | 013 Last Visit: 30/03/2023 |
| Patient Name | Mr. SHIDDERTHA DAS | Contact No | 8013907419 |
| Address | CHATRA GHOSH PARA,GARGORI GHAT | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||