Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06406 | Date 14/09/2019 |
| Token No | SM/19-20/10360 14/09/2019 | Serial | 039 Last Visit: 02/03/2020 |
| Patient Name | Miss KAYNAT KHATOON | Contact No | |
| Address | 47 CHATRA MUSALMAN PARA , SERAMPORE | Age | 1.7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||