Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06457 | Date 18/09/2019 |
| Token No | SM/19-20/16588 11/01/2020 | Serial | 048 Last Visit: 11/01/2020 |
| Patient Name | Baby GARGI SHAW | Contact No | 8481947521 |
| Address | 14/A P.G.B SARANI, SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||