Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12305 | Date 02/08/2023 |
| Token No | SM/22-23/23319 02/08/2023 | Serial | 015 Last Visit: 02/08/2023 |
| Patient Name | Miss PRITI PAUL | Contact No | 7498212049 |
| Address | SARDDAR PARA CHOTOBELU BELUMILKI | Age | 9 Years,11 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||