Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05838 | Date 19/07/2019 |
| Token No | SM/19-20/6832 19/07/2019 | Serial | 022 Last Visit: 19/07/2019 |
| Patient Name | Baby ANUSKA PASWAN | Contact No | 6290493201 |
| Address | 10 D LEHIRI PARA | Age | 10 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||