Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09653 | Date 25/05/2021 |
| Token No | SM/22-23/12546 17/05/2022 | Serial | 056 Last Visit: 17/05/2022 |
| Patient Name | Baby AYAT RAHMAN | Contact No | 9830772672 |
| Address | DANGAMAHESPUR ILAHIPUER SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||