Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11534 | Date 07/09/2022 |
| Token No | SM/22-23/16430 07/09/2022 | Serial | 010 Last Visit: 07/09/2022 |
| Patient Name | Baby ANUSKA PRAMANICK | Contact No | 9804886498 |
| Address | 41 BARABAGAN LANE SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||