Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01234 | Date 19/09/2018 |
| Token No | SM/18-19/1848 19/09/2018 | Serial | 060 Last Visit: 07/09/2024 |
| Patient Name | Miss RUPANJANA SAHA | Contact No | 9674215911 |
| Address | BENIYA PARA | Age | 10 Years,8 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||