Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04717 | Date 16/04/2019 |
| Token No | SM/19-20/1361 22/04/2019 | Serial | 076 Last Visit: 02/12/2019 |
| Patient Name | Miss SANCHITA BARAT | Contact No | 9143740789 |
| Address | 673 GT ROAD SERAMPORE HOOGHLY | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||