Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11818 | Date 29/12/2022 |
| Token No | SM/22-23/19327 29/12/2022 | Serial | 029 Last Visit: 29/12/2022 |
| Patient Name | Baby HAYAT KHATUN | Contact No | 8276889455 |
| Address | 14 BAZAR BYE LANE TIN BAZAR SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||