Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11460 | Date 20/08/2022 |
| Token No | SM/22-23/21370 29/04/2023 | Serial | 001 Last Visit: 29/04/2023 |
| Patient Name | Baby MOU SAMANTA | Contact No | 9804024985 |
| Address | 36/C A P GHOSH ROAD SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||