Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01287 | Date 24/09/2018 |
| Token No | SM/21-22/6218 25/10/2021 | Serial | 040 Last Visit: 26/04/2023 |
| Patient Name | Baby MONJURI PAL | Contact No | 8017570530 |
| Address | 10 CHATRA BAZER ROAD | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||