Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05889 | Date 22/07/2019 |
| Token No | SM/19-20/7027 22/07/2019 | Serial | 045 Last Visit: 22/07/2019 |
| Patient Name | Miss OINDRILA SADHUKHAN | Contact No | 9163943838 |
| Address | BHAGUA , DANKUNI | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||