Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07997 | Date 02/04/2020 |
| Token No | SM/19-20/20642 02/04/2020 | Serial | 021 Last Visit: 02/04/2020 |
| Patient Name | Baby PUTUL DAS | Contact No | 9548551046 |
| Address | 8 KANAI DEWAN TALA BYE LANE SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||