Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01291 | Date 24/09/2018 |
| Token No | SM/18-19/1973 24/09/2018 | Serial | 032 Last Visit: 04/08/2020 |
| Patient Name | Miss MUSKAN KHATUN | Contact No | 9088173247 |
| Address | 17/A CHATRA MUSALMAN PARA BYE LANE , SERAMPORE | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||