Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10971 | Date 02/05/2022 |
| Token No | SM/22-23/12154 02/05/2022 | Serial | 030 Last Visit: 02/05/2022 |
| Patient Name | Miss ANUSHREE GHOSH | Contact No | 9903140777 |
| Address | 52/25 RAM KRISHNA ROAD BAIDYABATI (M) CHATRA | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||