Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08929 | Date 04/11/2020 |
| Token No | SM/22-23/12384 12/05/2022 | Serial | 009 Last Visit: 24/09/2022 |
| Patient Name | Baby MEHAK KHATUN | Contact No | 8017886729 |
| Address | 1 CHATRA MUSALMAN PARA , SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||