Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03313 | Date 02/02/2019 |
| Token No | SM/18-19/7851 02/02/2019 | Serial | 040 Last Visit: 02/02/2019 |
| Patient Name | Baby SONAKHI PAL | Contact No | 9088465271 |
| Address | CHATRA DHARMA TALA LANE | Age | 9 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||