Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04258 | Date 16/03/2019 |
| Token No | SM/18-19/10857 19/03/2019 | Serial | 050 Last Visit: 14/06/2019 |
| Patient Name | Baby ISHANI NASKAR | Contact No | 9836458184 |
| Address | 23/C G.T ROAD GODAR BAGAN BY LANE , BAIDYABATI(M) | Age | 1.2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||