Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04624 | Date 08/04/2019 |
| Token No | SM/19-20/3247 22/05/2019 | Serial | 088 Last Visit: 14/06/2022 |
| Patient Name | Baby ANISHA KHATUN | Contact No | 9681981014 |
| Address | 19/C CHATRA KUMAR PARA, SERAMPORE | Age | 3.5YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||