Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00373 | Date 11/08/2018 |
| Token No | SM/19-20/12120 21/10/2019 | Serial | 017 Last Visit: 04/05/2023 |
| Patient Name | Baby RIDIPTA ROY | Contact No | 8967128090 |
| Address | 5/A, LAHIRI PARA LANE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||