Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06906 | Date 19/11/2019 |
| Token No | SM/19-20/13542 19/11/2019 | Serial | 039 Last Visit: 19/11/2019 |
| Patient Name | Baby DIPTASHREE KARMOKAR | Contact No | 9874173896 |
| Address | 8 SIDDESWARI LANE CHATRA SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||