Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10742 | Date 02/03/2022 |
| Token No | SM/22-23/21709 18/05/2023 | Serial | 011 Last Visit: 18/05/2023 |
| Patient Name | Master SK AFROJ | Contact No | 9748770251 |
| Address | 4/A MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||