Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10251 | Date 29/10/2021 |
| Token No | SM/21-22/6414 29/10/2021 | Serial | 042 Last Visit: 29/10/2021 |
| Patient Name | Baby ISHITA SINGH | Contact No | 8420166063 |
| Address | N.S AVENUE SERAMPORE | Age | 11 MONTHS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||