Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07879 | Date 21/03/2020 |
| Token No | SM/19-20/20069 21/03/2020 | Serial | 025 Last Visit: 21/03/2020 |
| Patient Name | Baby SHREEPARNA DAS | Contact No | 9748268231 |
| Address | CHATRA BAGER BAGAN | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||