Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07747 | Date 11/03/2020 |
| Token No | SM/19-20/19385 11/03/2020 | Serial | 048 Last Visit: 09/07/2021 |
| Patient Name | Miss SUHANA KHATUN | Contact No | 8584897614 |
| Address | 20, CHATRA KUMAR PARA SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||