Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02394 | Date 07/12/2018 |
| Token No | SM/18-19/4839 07/12/2018 | Serial | 033 Last Visit: 07/12/2018 |
| Patient Name | Miss SNEHA RAJBHAR | Contact No | 8820041790 |
| Address | 27 BJAR / LANE SERAMPORE | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||