Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07107 | Date 09/12/2019 |
| Token No | SM/19-20/14897 09/12/2019 | Serial | 007 Last Visit: 09/12/2019 |
| Patient Name | Baby SAMRIDDHI SAHA | Contact No | 9830157227 |
| Address | NAOGAR MORE,SERAMPORE, BAIDYABATI M | Age | 3.1 Y Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||