Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08656 | Date 22/08/2020 |
| Token No | SM/22-23/12118 30/04/2022 | Serial | 018 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 | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||