Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 07704 | Date 04/03/2020 |
| Token No | SM/19-20/19086 04/03/2020 | Serial | 060 Last Visit: 04/03/2020 |
| Patient Name | Miss KEYA KAYUR | Contact No | 8296858514 |
| Address | 25/15 MIRPARA ROAD , KAZIPARA , BAIDYABATI(M) | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||