Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04352 | Date 23/03/2019 |
| Token No | SM/19-20/834 12/04/2019 | Serial | 071 Last Visit: 13/06/2020 |
| Patient Name | Baby KAUSIKI SADHUKHAN | Contact No | 9681065397 |
| Address | 3 CHATRA DHARMOTALA LANE SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||