Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11798 | Date 21/12/2022 |
| Token No | SM/22-23/19085 21/12/2022 | Serial | 041 Last Visit: 21/12/2022 |
| Patient Name | Baby KANISH FATMA | Contact No | |
| Address | 7 ARBINDA SARANI SERAMPORE | Age | 8 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||