Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07744 | Date 11/03/2020 |
| Token No | SM/21-22/128 05/04/2021 | Serial | 041 Last Visit: 05/04/2021 |
| Patient Name | Miss PRATITI GHOSH | Contact No | 8910502242 |
| Address | 10A BARO BAGAN LANE SERAMPORE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||