Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02899 | Date 08/01/2019 |
| Token No | SM/22-23/11378 04/04/2022 | Serial | 052 Last Visit: 04/04/2022 |
| Patient Name | Miss MALLIKA SARKAR | Contact No | 9163120630 |
| Address | CHATRA TELI PARA,BAGER BAGAN,BAIDYABATY(M) | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||