Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00540 | Date 18/08/2018 |
| Token No | SM/21-22/8668 07/01/2022 | Serial | 063 Last Visit: 20/01/2023 |
| Patient Name | Miss SAHELI DUTTA | Contact No | 9088247566 |
| Address | 1, DUTTOS LANE CHATRA | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||