Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04699 | Date 13/04/2019 |
| Token No | SM/19-20/1154 18/04/2019 | Serial | 067 Last Visit: 18/04/2019 |
| Patient Name | Miss SNIGDHA MONDAL | Contact No | 9874257311 |
| Address | CHOTO BELUR SERAMPORE | Age | 5.2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||