Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05714 | Date 10/07/2019 |
| Token No | SM/21-22/6685 09/11/2021 | Serial | 011 Last Visit: 18/06/2022 |
| Patient Name | Miss ANKITA DAS | Contact No | 9836469170 |
| Address | 26/B A.P. GHOSH ROAD | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||