Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00311 | Date 10/08/2018 |
| Token No | SM/18-19/337 10/08/2018 | Serial | 025 Last Visit: 10/08/2018 |
| Patient Name | Baby AHANA DEY | Contact No | |
| Address | 12, GT ROAD SERAMPORE | Age | 4.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||