Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08841 | Date 10/10/2020 |
| Token No | SM/21-22/4502 27/08/2021 | Serial | 037 Last Visit: 27/08/2021 |
| Patient Name | Miss AFRIN PRABIN | Contact No | 9836995897 |
| Address | MADHYAMGRAM(M) BABU NORTH 24 PRAGANAS | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||