Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11128 | Date 15/06/2022 |
| Token No | SM/22-23/15876 20/08/2022 | Serial | 009 Last Visit: 20/08/2022 |
| Patient Name | Miss MOUSUMI BAIDYA | Contact No | 9836037270 |
| Address | CHATRA GODAR BAGAN,BAIDYABATI(M) | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | 119.9 cm BMI: 12.520859 |
| Diagnosis | |||