Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08373 | Date 17/06/2020 |
| Token No | SM/19-20/23196 17/06/2020 | Serial | 027 Last Visit: 17/06/2020 |
| Patient Name | Baby TANIYA MUKHERJEE | Contact No | 8861055660 |
| Address | 7 DR CHATERJEE LANE SERAMPORE | Age | 5 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||