Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00222 | Date 07/08/2018 |
| Token No | SM/18-19/231 07/08/2018 | Serial | 004 Last Visit: 07/08/2018 |
| Patient Name | Baby SOURAVI BERA | Contact No | |
| Address | 19 RAMKRISHNA ROAD, MANNA PARA, CHATRA | Age | 3 Years,4 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||