Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06432 | Date 16/09/2019 |
| Token No | SM/19-20/10486 16/09/2019 | Serial | 087 Last Visit: 16/09/2019 |
| Patient Name | Miss JAYA BHATTCHARYA | Contact No | 8777565612 |
| Address | 287 CHARA BAGAN BAUREPARA , BAIDYABATI(M) | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||