Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06483 | Date 20/09/2019 |
| Token No | SM/19-20/10760 20/09/2019 | Serial | 051 Last Visit: 20/09/2019 |
| Patient Name | Miss KOYEL SASMAL | Contact No | 6290137510 |
| Address | 116/33 CHATRA SHITLATALA , BAIDYABATI(M) | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||