Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02965 | Date 11/01/2019 |
| Token No | SM/18-19/6686 11/01/2019 | Serial | 043 Last Visit: 11/01/2019 |
| Patient Name | Baby RITI MAJUMDAR | Contact No | 9831194007 |
| Address | VIVEKANAND SARANI | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||