Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07591 | Date 20/02/2020 |
| Token No | SM/20-21/30113 05/02/2021 | Serial | 017 Last Visit: 05/02/2021 |
| Patient Name | Baby SONIYA PAL | Contact No | 8481864313 |
| Address | 36 G T ROAD CHATRA BOWBAZAR, BAIDYABATI(M) | Age | 1.6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||