Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11641 | Date 02/11/2022 |
| Token No | SM/22-23/17595 02/11/2022 | Serial | 009 Last Visit: 02/11/2022 |
| Patient Name | Baby RIZA KHATOON | Contact No | 9831462081 |
| Address | 41, K M BHATTCHARYA STREET | Age | 2 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||