Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02395 | Date 07/12/2018 |
| Token No | SM/19-20/12915 07/11/2019 | Serial | 086 Last Visit: 07/11/2019 |
| Patient Name | Baby SRIJISTA DUTTA | Contact No | 8240011443 |
| Address | 17B CHATRA CHAPA TALA | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||