Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05509 | Date 21/06/2019 |
| Token No | SM/19-20/9108 26/08/2019 | Serial | 024 Last Visit: 27/11/2019 |
| Patient Name | Baby ISHA BISWAS | Contact No | 7449772911 |
| Address | TARAPUKUR GOV QUATER | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||