Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12127 | Date 02/06/2023 |
| Token No | SM/22-23/21963 02/06/2023 | Serial | 038 Last Visit: 02/06/2023 |
| Patient Name | Miss KUMKUM SHAW | Contact No | 9333716668 |
| Address | SARADA PALLY PANAGARH RAIL PAR | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||