Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08633 | Date 06/08/2020 |
| Token No | SM/19-20/24784 06/08/2020 | Serial | 059 Last Visit: 06/08/2020 |
| Patient Name | Baby KAINAR JAMAL | Contact No | 9062874262 |
| Address | 27 K. M. BHATTACHARJEE STREET | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||