Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12038 | Date 18/04/2023 |
| Token No | SM/22-23/21185 18/04/2023 | Serial | 012 Last Visit: 18/04/2023 |
| Patient Name | Master SAYAN BARIK | Contact No | |
| Address | CHOTO BELUR CHECK POST | Age | 2.8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9.38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||