Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03661 | Date 18/02/2019 |
| Token No | SM/18-19/11465 28/03/2019 | Serial | 067 Last Visit: 28/03/2019 |
| Patient Name | Baby DIYA BHADRA | Contact No | 9143252406 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 3.3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||