Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03363 | Date 04/02/2019 |
| Token No | SM/19-20/18383 19/02/2020 | Serial | 044 Last Visit: 19/03/2020 |
| Patient Name | Miss TISHA DAS | Contact No | 9239350625 |
| Address | 21 MUKHERJEE PARA | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||