Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01965 | Date 14/11/2018 |
| Token No | SM/19-20/6456 13/07/2019 | Serial | 120 Last Visit: 02/07/2022 |
| Patient Name | Baby SOHINI MONDAL | Contact No | 9804244619 |
| Address | CHATRA BAGER BAGAN, BIDYABATI(M) | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||