Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07593 | Date 20/02/2020 |
| Token No | SM/22-23/21967 03/06/2023 | Serial | 003 Last Visit: 03/06/2023 |
| Patient Name | Master SK MIJANUR | Contact No | 8250506143 |
| Address | 20 CHATRA KANAI DEWANTALA SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||