Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12025 | Date 06/04/2023 |
| Token No | SM/22-23/21024 06/04/2023 | Serial | 002 Last Visit: 06/04/2023 |
| Patient Name | Baby SURAIYA PARVEEN | Contact No | 8100657844 |
| Address | 35/A CHATRA MUSALMAN PARA , SERAMPORE | Age | 1.6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||