Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 00455 | Date 14/08/2018 |
| Token No | SM/21-22/3552 27/07/2021 | Serial | 029 Last Visit: 27/07/2021 |
| Patient Name | Baby PAPRI SARKAR | Contact No | 8013175966 |
| Address | 32, PANCHU BABU BAZAR LANE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||