Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08995 | Date 26/11/2020 |
| Token No | SM/24-25/35540 30/07/2024 | Serial | 044 Last Visit: 30/07/2024 |
| Patient Name | Baby RUKSHA KHATUN | Contact No | 8617250257 |
| Address | 14 CHATRA MUSALMAN PARA SERAMPORE | Age | 7 Years,8 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||