Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08872 | Date 15/10/2020 |
| Token No | SM/21-22/2969 07/07/2021 | Serial | 026 Last Visit: 14/07/2021 |
| Patient Name | Baby SANVIKA BISWAS | Contact No | 9073734114 |
| Address | 21 ROY GHAT LANE | Age | 1YEAR 7MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||