Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10945 | Date 21/04/2022 |
| Token No | SM/22-23/11893 21/04/2022 | Serial | 034 Last Visit: 21/04/2022 |
| Patient Name | Miss AITH FIR DOSE | Contact No | 7003606279 |
| Address | RAY GHAT SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||