Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07467 | Date 03/02/2020 |
| Token No | SM/22-23/18323 28/11/2022 | Serial | 010 Last Visit: 28/11/2022 |
| Patient Name | Baby JEYA SADHUKHA | Contact No | 9836536324 |
| Address | 40/3/A A P GHOSH ROAD | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||