Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05338 | Date 06/06/2019 |
| Token No | SM/19-20/14614 03/12/2019 | Serial | 097 Last Visit: 09/09/2022 |
| Patient Name | Miss RISHIKA KUMAR | Contact No | 8420165134 |
| Address | CHATRA SHITLATALA BAIDYABATI(M) | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||