Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12519 | Date 26/09/2023 |
| Token No | SM/22-23/24691 26/09/2023 | Serial | 014 Last Visit: 26/09/2023 |
| Patient Name | Baby ROSHNI KHATOON | Contact No | 6204012756 |
| Address | 9D ARABINDA SARANI SERAMPORE | Age | 1 Years,1 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||