Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09582 | Date 05/05/2021 |
| Token No | SM/21-22/1144 05/05/2021 | Serial | 003 Last Visit: 05/05/2021 |
| Patient Name | Baby MD. FARAN | Contact No | 7044611156 |
| Address | 7,ARABINDA SARANI SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||