Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03375 | Date 05/02/2019 |
| Token No | SM/19-20/19653 14/03/2020 | Serial | 056 Last Visit: 27/01/2022 |
| Patient Name | Miss SAHALI DAS | Contact No | 8443839661 |
| Address | SATCHASI PARA ,LANKER BAGAN,BAIDYABATI(M) | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||