Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11122 | Date 13/06/2022 |
| Token No | SM/22-23/13514 13/06/2022 | Serial | 047 Last Visit: 13/06/2022 |
| Patient Name | Baby KANIJA FATEMA | Contact No | 7980535796 |
| Address | 7 ARBINDA SARANI SERAMPORE | Age | 2 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||