Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09860 | Date 22/07/2021 |
| Token No | SM/21-22/3348 22/07/2021 | Serial | 025 Last Visit: 22/07/2021 |
| Patient Name | Baby MEGHNA PRAMANIK | Contact No | 9832901705 |
| Address | BAGERE BAGAN SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||