Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07488 | Date 06/02/2020 |
| Token No | SM/19-20/17702 06/02/2020 | Serial | 026 Last Visit: 06/02/2020 |
| Patient Name | Miss ISHITA SAMANTA | Contact No | |
| Address | 57/G/A G.T. ROAD,PAMPANAGER,BAIDYABATI(M) | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||