Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11489 | Date 27/08/2022 |
| Token No | SM/22-23/16078 27/08/2022 | Serial | 057 Last Visit: 27/08/2022 |
| Patient Name | Baby SK SAJIR | Contact No | |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||