Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06569 | Date 27/09/2019 |
| Token No | SM/19-20/11263 27/09/2019 | Serial | 074 Last Visit: 27/09/2019 |
| Patient Name | Baby SRINIKA GHOSH MUKHERJEE | Contact No | 9804530509 |
| Address | 304 GOPAL NIBASH,CHATRA | Age | 10 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||