Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02649 | Date 22/12/2018 |
| Token No | SM/22-23/14958 23/07/2022 | Serial | 028 Last Visit: 21/09/2022 |
| Patient Name | Baby NOOR YASMIN | Contact No | 9874158416 |
| Address | CHATRA BOU BAJAR , BAIDYABATI(M) | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||