Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05323 | Date 03/06/2019 |
| Token No | SM/19-20/3913 03/06/2019 | Serial | 036 Last Visit: 03/06/2019 |
| Patient Name | Baby RIPANSHI PAL | Contact No | 9674733666 |
| Address | BAIDYABATI | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||