Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08939 | Date 05/11/2020 |
| Token No | SM/20-21/27199 05/11/2020 | Serial | 060 Last Visit: 05/11/2020 |
| Patient Name | Baby TABISHI MODAK | Contact No | 7428552982 |
| Address | 27/B/2 ROY GHAT LANE SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||