Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12022 | Date 05/04/2023 |
| Token No | SM/22-23/21002 05/04/2023 | Serial | 010 Last Visit: 05/04/2023 |
| Patient Name | Mr. VOLA SAHA | Contact No | 7890891839 |
| Address | 55 BARA BAGAN LANE MALLICK PARA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||