Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07870 | Date 20/03/2020 |
| Token No | SM/19-20/20920 08/04/2020 | Serial | 044 Last Visit: 08/04/2020 |
| Patient Name | Baby SHREYA DAS | Contact No | 9681213181 |
| Address | G.T. ROAD TELIPARA BAGER BAGAN BAIDYABATI M | Age | 3.2YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||