Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01821 | Date 01/11/2018 |
| Token No | SM/20-21/25868 21/09/2020 | Serial | 018 Last Visit: 28/04/2021 |
| Patient Name | Baby HALIMA KHATUN | Contact No | 9875427846 |
| Address | 20, CHATRA MUSALMAN PARA, SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||