Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11217 | Date 04/07/2022 |
| Token No | SM/22-23/14237 04/07/2022 | Serial | 008 Last Visit: 04/07/2022 |
| Patient Name | Baby SHIDDI MONDAL | Contact No | 9123759188 |
| Address | 53 MUKHERJEE PARA LANE SERAMPORE | Age | 1Y 6M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||