Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06563 | Date 27/09/2019 |
| Token No | SM/19-20/11244 27/09/2019 | Serial | 055 Last Visit: 27/09/2019 |
| Patient Name | Baby MEHAK JANA | Contact No | 9088594650 |
| Address | CHATRA,MUSALMAN PARA | Age | 2.1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||