Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07744 | Date 11/03/2020 |
| Token No | SM/19-20/19380 11/03/2020 | Serial | 043 Last Visit: 05/04/2021 |
| Patient Name | Miss PRATITI GHOSH | Contact No | 8910502242 |
| Address | 10A BARO BAGAN LANE SERAMPORE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||