Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12071 | Date 06/05/2023 |
| Token No | SM/22-23/21471 06/05/2023 | Serial | 017 Last Visit: 06/05/2023 |
| Patient Name | Master SRHERANS RAJBHAR | Contact No | 9653488691 |
| Address | 33/1 CHATRA DUTTA PARA | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||