Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04701 | Date 13/04/2019 |
| Token No | SM/19-20/877 13/04/2019 | Serial | 037 Last Visit: 13/04/2019 |
| Patient Name | Baby SK ISHRAT | Contact No | 6289003858 |
| Address | MAILA DUBU SHEWRAPHULI , BAIDYABATI(M) | Age | 4 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 4.78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||