Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11814 | Date 28/12/2022 |
| Token No | SM/22-23/19298 28/12/2022 | Serial | 023 Last Visit: 01/04/2023 |
| Patient Name | Baby ANNYA AFRIN | Contact No | 8100296626 |
| Address | 41 K.M. BHATTACHARYA STREET | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||