Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05786 | Date 15/07/2019 |
| Token No | SM/19-20/6539 15/07/2019 | Serial | 082 Last Visit: 15/07/2019 |
| Patient Name | Miss AFRIN TARAFDAR | Contact No | 7972309199 |
| Address | HATPUKUR P[URBA PARA JANAI | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||