Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11279/1 | Date 16/07/2022 |
| Token No | SM/22-23/30092 09/03/2024 | Serial | 027 Last Visit: 28/08/2024 |
| Patient Name | Baby SHILPA DAS | Contact No | 8017001119 |
| Address | SERAMPORE,KUMIR JOLA ROAD | Age | 7 Years,2 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||