Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06436 | Date 16/09/2019 |
| Token No | SM/19-20/10502 16/09/2019 | Serial | 103 Last Visit: 13/10/2020 |
| Patient Name | Miss SOUMAIYA KAHTUN | Contact No | 6290513618 |
| Address | MILKI BADAM TALA , SERAMPORE | Age | 5.2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||