Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07830 | Date 18/03/2020 |
| Token No | SM/19-20/19831 18/03/2020 | Serial | 005 Last Visit: 18/03/2020 |
| Patient Name | Baby RANI RAJBHAR | Contact No | 7890714920 |
| Address | 6/B/B RAILAND CIRCULAR ROAD,SERAMPORE,MAHESH | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||