Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08557 | Date 18/07/2020 |
| Token No | SM/19-20/24201 18/07/2020 | Serial | 002 Last Visit: 18/07/2020 |
| Patient Name | Baby NAZIA PARWEEN | Contact No | 8820264851 |
| Address | 5 PARSHI LANE SERAMPORE | Age | 3.6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||