Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09486 | Date 19/04/2021 |
| Token No | SM/21-22/565 19/04/2021 | Serial | 032 Last Visit: 19/04/2021 |
| Patient Name | Miss RUPSA PATRA | Contact No | 8420864900 |
| Address | SINGUR | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||