Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07420 | Date 25/01/2020 |
| Token No | SM/19-20/17203 25/01/2020 | Serial | 046 Last Visit: 25/01/2020 |
| Patient Name | Baby SNEHA MUKHERJEE | Contact No | 9007629528 |
| Address | 13 CHATEERJEE LANE SERAMPORE | Age | 1.5 YERS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||