Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08691 | Date 02/09/2020 |
| Token No | SM/19-20/25344 02/09/2020 | Serial | 043 Last Visit: 02/09/2020 |
| Patient Name | Baby ISHAN DAS | Contact No | |
| Address | 65/4 BAHIR SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||