Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03314 | Date 02/02/2019 |
| Token No | SM/18-19/7852 02/02/2019 | Serial | 041 Last Visit: 26/02/2019 |
| Patient Name | Miss ENAKSHI PAL | Contact No | 9088465271 |
| Address | CHATRA DHARMATALA LANE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||