Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07207 | Date 21/12/2019 |
| Token No | SM/19-20/15718 21/12/2019 | Serial | 026 Last Visit: 21/12/2019 |
| Patient Name | Miss SREYA CHOWDHURY | Contact No | 8013933382 |
| Address | MAKALTALA, BAROBELU, BELUMILKI | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||