Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07104 | Date 07/12/2019 |
| Token No | SM/19-20/14855 07/12/2019 | Serial | 022 Last Visit: 07/12/2019 |
| Patient Name | Miss MUSKAN KHATOON | Contact No | 6291929844 |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||