Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08470 | Date 02/07/2020 |
| Token No | SM/22-23/23848 24/08/2023 | Serial | 024 Last Visit: 24/08/2023 |
| Patient Name | Baby SOMA DAS | Contact No | 7595905127 |
| Address | 31/A BARA BAGAN LANE | Age | 4 Years,7 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||