Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09384 | Date 23/03/2021 |
| Token No | SM/20-21/31100 23/03/2021 | Serial | 037 Last Visit: 23/03/2021 |
| Patient Name | Baby SOUROSHREE DEY | Contact No | 8017503762 |
| Address | PAHLAMPUR, SINGUR HOOGHLY | Age | 2.7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||