Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00837 | Date 30/08/2018 |
| Token No | SM/18-19/1059 30/08/2018 | Serial | 013 Last Visit: 07/09/2018 |
| Patient Name | Baby RAJKUMAR MAJHI | Contact No | 9874751596 |
| Address | CHATRA MANNA PARA,BAIDYABATI | Age | 5.5 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||