Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06411 | Date 14/09/2019 |
| Token No | SM/21-22/7183 26/11/2021 | Serial | 004 Last Visit: 26/11/2021 |
| Patient Name | Miss ALKASSH PARVEEN | Contact No | 7044922144 |
| Address | 9/A ARBINDA SARANI SERAMPORE | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||