Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08045 | Date 08/04/2020 |
| Token No | SM/19-20/20916 08/04/2020 | Serial | 040 Last Visit: 08/04/2020 |
| Patient Name | Baby AFSANA KHATUN | Contact No | 7278935809 |
| Address | PAMPA NAGAR G.T. ROAD BAIDYABATI M | Age | 8.5YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||