Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05704 | Date 08/07/2019 |
| Token No | SM/22-23/11987 25/04/2022 | Serial | 015 Last Visit: 25/04/2022 |
| Patient Name | Master ASTA MALLICK | Contact No | |
| Address | CHATRA KALIBABU GHAT SERAMPORE | Age | 8.5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||