Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06272 | Date 30/08/2019 |
| Token No | SM/19-20/9459 30/08/2019 | Serial | 031 Last Visit: 06/09/2019 |
| Patient Name | Miss SANA PARVEEN | Contact No | 9330109248 |
| Address | 32 GANDHI SARAK RISHRA HOOGHLY | Age | 5.6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||