Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07706 | Date 04/03/2020 |
| Token No | SM/19-20/19097 04/03/2020 | Serial | 071 Last Visit: 04/09/2020 |
| Patient Name | Baby RITWIKA BISWAS | Contact No | 6290139826 |
| Address | BAGER BAGAN KALCHARAL MATH , BAIDYABATI(M) | Age | 2.2 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||