Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00053 | Date 02/08/2018 |
| Token No | SM/22-23/20782 21/03/2023 | Serial | 016 Last Visit: 21/03/2023 |
| Patient Name | Miss RANITA GUIN | Contact No | 9874443077 |
| Address | 17, CHATARA DUTTA PARA | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||