Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05037 | Date 08/05/2019 |
| Token No | SM/19-20/2342 08/05/2019 | Serial | 033 Last Visit: 08/05/2019 |
| Patient Name | Miss AFRIN NESHA | Contact No | 8482080849 |
| Address | 5B GOPINATH SAHA STREET SERAMPORE | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||