Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08656 | Date 22/08/2020 |
| Token No | SM/21-22/68 03/04/2021 | Serial | 021 Last Visit: 30/04/2022 |
| Patient Name | Baby SRIJA ROY | Contact No | 9681080424 |
| Address | 24 N.N. ROY STREET | Age | 2.8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||