Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10621 | Date 02/02/2022 |
| Token No | SM/21-22/9550 02/02/2022 | Serial | 022 Last Visit: 02/02/2022 |
| Patient Name | Miss DIYA DAS | Contact No | 7044936489 |
| Address | DAKSHIN RAJYADHARPUR, | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||