Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00356 | Date 11/08/2018 |
| Token No | SM/18-19/2225 29/09/2018 | Serial | 013 Last Visit: 29/09/2018 |
| Patient Name | Baby ARANYA DAS | Contact No | 9163109461 |
| Address | 17 P.N.K. BANERJEE LANE | Age | 7MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||