Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06717 | Date 21/10/2019 |
| Token No | SM/19-20/12172 21/10/2019 | Serial | 069 Last Visit: 21/10/2019 |
| Patient Name | Miss NIKHAT PARVEEN | Contact No | 8481010783 |
| Address | N.N RAY STREET SERAMPORE | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||