Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05785 | Date 15/07/2019 |
| Token No | SM/19-20/6537 15/07/2019 | Serial | 080 Last Visit: 17/07/2019 |
| Patient Name | Mrs. AHANA ZRAR | Contact No | 7003380911 |
| Address | 5/A K.M BHATTACHARJEE STREET SERAMPORE HOOGHLY | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||