Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06935 | Date 20/11/2019 |
| Token No | SM/19-20/14171 27/11/2019 | Serial | 080 Last Visit: 24/08/2020 |
| Patient Name | Baby SABRIN PARVEEN | Contact No | 6291929844 |
| Address | 56 N.N ROY STREET SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||