Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11635 | Date 21/10/2022 |
| Token No | SM/22-23/17533 22/10/2022 | Serial | 002 Last Visit: 22/10/2022 |
| Patient Name | Baby PINKY PRAMANIK | Contact No | 9832440463 |
| Address | Age | 3yrs Female | |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||