Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00475 | Date 16/08/2018 |
| Token No | SM/18-19/535 16/08/2018 | Serial | 023 Last Visit: 16/08/2018 |
| Patient Name | Baby SHARBANTI DAS | Contact No | 9088610124 |
| Address | 48/A, MARADAN GOOD BOY CLUB | Age | 3.1 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||