Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07055 | Date 03/12/2019 |
| Token No | SM/19-20/14582 03/12/2019 | Serial | 065 Last Visit: 03/12/2019 |
| Patient Name | Baby SOMAIYA HOSANA | Contact No | 9007274830 |
| Address | CHATRA BOU BAZAR , BAIDYABATI(M) | Age | 9 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8.06 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||