Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07464 | Date 03/02/2020 |
| Token No | SM/19-20/17540 03/02/2020 | Serial | 070 Last Visit: 03/02/2020 |
| Patient Name | Baby MOUMITA DAS | Contact No | 7003431873 |
| Address | 23/36 A CHATRA,GODER BAGAN,BAIDAYABATI (M) | Age | 8 MANTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||