Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14051 | Date 18/07/2024 |
| Token No | SM/24-25/35003 18/07/2024 | Serial | 048 Last Visit: 18/07/2024 |
| Patient Name | Baby HALIMA KHATUN | Contact No | 6290187059 |
| Address | 20 KANHAI DEWAN TALA LANE SERAMPORE | Age | 6 Years,5 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||