Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00373 | Date 11/08/2018 |
| Token No | SM/20-21/29734 25/01/2021 | Serial | 018 Last Visit: 04/05/2023 |
| Patient Name | Baby RIDIPTA ROY | Contact No | 8967128090 |
| Address | 5/A, LAHIRI PARA LANE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||