Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11636 | Date 22/10/2022 |
| Token No | SM/22-23/17534 22/10/2022 | Serial | 003 Last Visit: 22/10/2022 |
| Patient Name | Baby DOLY PRAMANIK | Contact No | 9832440463 |
| Address | SOUTH 24 PGS | Age | 3YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||