Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06790 | Date 05/11/2019 |
| Token No | SM/22-23/30477 19/03/2024 | Serial | 004 Last Visit: 19/03/2024 |
| Patient Name | Baby SULTANA KHATOON | Contact No | 8777869445 |
| Address | 36/A MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 7 Years,11 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||