Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00412 | Date 13/08/2018 |
| Token No | SM/19-20/12315 23/10/2019 | Serial | 053 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 | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||