Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00734 | Date 27/08/2018 |
| Token No | SM/18-19/907 27/08/2018 | Serial | 040 Last Visit: 27/08/2018 |
| Patient Name | Baby REBA KHATUN | Contact No | |
| Address | SANI PARA , CHATRA | Age | 5.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/85 mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||