Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09994 | Date 26/08/2021 |
| Token No | SM/21-22/4448 26/08/2021 | Serial | 032 Last Visit: 26/08/2021 |
| Patient Name | Baby PAPRI SARKAR | Contact No | 8609869276 |
| Address | 32 PANCHU BABUR BAZAR SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||