Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04110 | Date 09/03/2019 |
| Token No | SM/18-19/10228 09/03/2019 | Serial | 019 Last Visit: 09/03/2019 |
| Patient Name | Baby RENU SINGH | Contact No | 8582911216 |
| Address | RAMKRISHANA NAGAR, BAIDYABATI(M) | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||