Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08523 | Date 10/07/2020 |
| Token No | SM/19-20/23995 10/07/2020 | Serial | 026 Last Visit: 10/07/2020 |
| Patient Name | Baby ALIYA KHATOON | Contact No | 6296743343 |
| Address | 27A MUSALMAN PARA LANE SERAMPORE | Age | 1.6 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||