Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06714 | Date 21/10/2019 |
| Token No | SM/19-20/22649 01/06/2020 | Serial | 038 Last Visit: 01/06/2020 |
| Patient Name | Baby SUNAYNA KHAN | Contact No | 6291857319 |
| Address | 27 CHATRA MUSALMAN PARA, SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||