Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06251 | Date 28/08/2019 |
| Token No | SM/19-20/9320 28/08/2019 | Serial | 043 Last Visit: 30/08/2019 |
| Patient Name | Miss BIDHISHA NASKAR | Contact No | 9748309236 |
| Address | HOWRAH DOMJUR | Age | 5 .9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||