Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11401 | Date 06/08/2022 |
| Token No | SM/22-23/15506 06/08/2022 | Serial | 037 Last Visit: 06/08/2022 |
| Patient Name | Miss SNEHA PATRO | Contact No | 9007091395 |
| Address | 6/A CRIPER ROAD KONNAGAR(M) | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||