Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03566 | Date 13/02/2019 |
| Token No | SM/18-19/11488 28/03/2019 | Serial | 090 Last Visit: 03/09/2019 |
| Patient Name | Baby ANANYA ROY | Contact No | 9836266510 |
| Address | 18 N N ROY STREET | Age | 4 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 4.98 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||