Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08130 | Date 22/04/2020 |
| Token No | SM/19-20/21444 22/04/2020 | Serial | 027 Last Visit: 22/04/2020 |
| Patient Name | Baby SHRISTI DAS | Contact No | 9073626013 |
| Address | 72 MUKHERJEE PARA LANE | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||