Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10757 | Date 07/03/2022 |
| Token No | SM/21-22/10562 07/03/2022 | Serial | 026 Last Visit: 07/03/2022 |
| Patient Name | Baby SK. SHERAFATH | Contact No | 8274008523 |
| Address | 25/C KANAI DIWAN TALA SHEORAPHULI (M) | Age | 1.5 YERS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||