Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10438 | Date 21/12/2021 |
| Token No | SM/21-22/8209 28/12/2021 | Serial | 032 Last Visit: 24/05/2022 |
| Patient Name | Baby BRISTY PRAMANIK | Contact No | 9007795083 |
| Address | MILKY BADAM TALA SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||