Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11357 | Date 28/07/2022 |
| Token No | SM/22-23/15143 28/07/2022 | Serial | 041 Last Visit: 28/07/2022 |
| Patient Name | Baby RAJNANDIINI CHOWDHURY | Contact No | 8583897700 |
| Address | HARISOBHA-,CHATRA, | Age | 3Y6M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||