Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00944 | Date 06/09/2018 |
| Token No | SM/18-19/8079 05/02/2019 | Serial | 070 Last Visit: 16/04/2020 |
| Patient Name | Mrs. KAJAL BHUIYA | Contact No | |
| Address | B.B GHOSH ROAD SERAMPORE | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||