Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12795 | Date 05/12/2023 |
| Token No | SM/22-23/26767 05/12/2023 | Serial | 025 Last Visit: 05/12/2023 |
| Patient Name | Master SK AMIN | Contact No | 9163217508 |
| Address | 7 ARBINDA SARANI SERAMPORE | Age | 2 Years,11 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||