Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07733 | Date 07/03/2020 |
| Token No | SM/19-20/19300 07/03/2020 | Serial | 046 Last Visit: 07/03/2020 |
| Patient Name | Miss BIDISHA GHOSH | Contact No | 9804574490 |
| Address | 6/3 P. N. CHAKRABORTY LANE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||