Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08321 | Date 09/06/2020 |
| Token No | SM/19-20/24431 24/07/2020 | Serial | 048 Last Visit: 09/12/2021 |
| Patient Name | Baby JINAT PARVIN | Contact No | 9330222301 |
| Address | 12 CHATRA MUSALMAN PARA BY LANE SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||