Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00537 | Date 18/08/2018 |
| Token No | SM/18-19/616 18/08/2018 | Serial | 012 Last Visit: 18/08/2018 |
| Patient Name | Baby MUNMUN DUTTA | Contact No | |
| Address | 93B BARUI PARA CHATRA | Age | 2.6 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||