Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07221 | Date 24/12/2019 |
| Token No | SM/19-20/15833 24/12/2019 | Serial | 026 Last Visit: 24/12/2019 |
| Patient Name | Baby ARADHYA PAL | Contact No | 7278412624 |
| Address | 16A/1 CHATRA BARUI PARA LANE, SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||