Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09420 | Date 03/04/2021 |
| Token No | SM/21-22/81 03/04/2021 | Serial | 034 Last Visit: 03/04/2021 |
| Patient Name | Baby ARFA KHATUN | Contact No | 5523664260 |
| Address | CHATRA LANKAR BAGAN BAIDHYABATI | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||