Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00412 | Date 13/08/2018 |
| Token No | SM/18-19/8354 08/02/2019 | Serial | 080 Last Visit: 30/11/2021 |
| Patient Name | Baby SAJDA KHATUN | Contact No | 8444979212 |
| Address | ARBINDO SARANI | Age | 1.5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||