Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12076 | Date 10/05/2023 |
| Token No | SM/22-23/21516 10/05/2023 | Serial | 037 Last Visit: 10/05/2023 |
| Patient Name | Baby SUBHAMITA DUTTA | Contact No | 8100316100 |
| Address | CHATRA DUTTA PARA | Age | 1Y6M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||