Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10794 | Date 12/03/2022 |
| Token No | SM/21-22/10731 12/03/2022 | Serial | 032 Last Visit: 12/03/2022 |
| Patient Name | Baby SUHANI SINGH | Contact No | 9123976217 |
| Address | TELIPARA BAGER BAGAN CHATRA | Age | 4.3 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||