Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04978 | Date 30/04/2019 |
| Token No | SM/19-20/3975 03/06/2019 | Serial | 098 Last Visit: 03/06/2019 |
| Patient Name | Miss SUPARBHA MONDAL | Contact No | 9123759188 |
| Address | 53/A MUKHERJEE PARA LENE SERAMPORE | Age | 5.5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||