Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10790 | Date 12/03/2022 |
| Token No | SM/21-22/10719 12/03/2022 | Serial | 020 Last Visit: 12/03/2022 |
| Patient Name | Baby ISHANI MONDAL | Contact No | 7890738026 |
| Address | TELIPARA BAGER BAGAN CHATRA BAIDYABATI (M) SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||