Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08371 | Date 17/06/2020 |
| Token No | SM/19-20/23192 17/06/2020 | Serial | 023 Last Visit: 17/06/2020 |
| Patient Name | Baby AAHERI MUKHOPADHAYAY | Contact No | 9330881686 |
| Address | 5 GOILA PARA LANE SERAMPORE | Age | 4 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||