Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12123 | Date 02/06/2023 |
| Token No | SM/22-23/21948 02/06/2023 | Serial | 023 Last Visit: 12/07/2023 |
| Patient Name | Master MD SARAFAT | Contact No | |
| Address | KANHAI DEWAN TALA LANE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||