Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00683 | Date 25/08/2018 |
| Token No | SM/19-20/16608 13/01/2020 | Serial | 010 Last Visit: 13/01/2020 |
| Patient Name | Baby TANAYA BANERJEE | Contact No | 8116122944 |
| Address | 1/2 N.L GOSWAMI STREET | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||