Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07485 | Date 06/02/2020 |
| Token No | SM/19-20/17681 06/02/2020 | Serial | 005 Last Visit: 06/02/2020 |
| Patient Name | Miss RAKHIA PARVIN | Contact No | 7449959557 |
| Address | KHANDAKAR PARA,SEORAPHULI,BAIDYABATI(M) | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||