Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03351 | Date 04/02/2019 |
| Token No | SM/18-19/7957 04/02/2019 | Serial | 053 Last Visit: 04/02/2019 |
| Patient Name | Baby ASTHA MALLIK | Contact No | 6290339198 |
| Address | BERAKPUR, | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||