Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09653 | Date 25/05/2021 |
| Token No | SM/21-22/1710 25/05/2021 | Serial | 017 Last Visit: 17/05/2022 |
| Patient Name | Baby AYAT RAHMAN | Contact No | 9830772672 |
| Address | DANGAMAHESPUR ILAHIPUER SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||