Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09553 | Date 29/04/2021 |
| Token No | SM/21-22/986 29/04/2021 | Serial | 032 Last Visit: 29/04/2021 |
| Patient Name | Baby SAPTANGSHU MUKHERJEE | Contact No | 8240766337 |
| Address | S.C GHOSH LANE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||