Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07849 | Date 19/03/2020 |
| Token No | SM/20-21/28316 11/12/2020 | Serial | 013 Last Visit: 27/04/2021 |
| Patient Name | Baby ARIYAN TURIYA | Contact No | 9007889553 |
| Address | JUBLEE MODEL BASTI J.N LAHIRI ROAD SERAMPORE | Age | 4.6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||