Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07135 | Date 12/12/2019 |
| Token No | SM/19-20/15143 12/12/2019 | Serial | 063 Last Visit: 12/12/2019 |
| Patient Name | Miss SAHANUR KHATOON | Contact No | 8647916119 |
| Address | DAKSHIN PARA BANGIHATI MALLICK PARA HOOGHLY | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||