Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05001 | Date 02/05/2019 |
| Token No | SM/19-20/2087 02/05/2019 | Serial | 058 Last Visit: 08/09/2020 |
| Patient Name | Miss ANANYA RAY | Contact No | 8777379600 |
| Address | 18 N.N RAY STREET SERAMPORE | Age | 1.11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 5.52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||