Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13466 | Date 19/03/2024 |
| Token No | SM/22-23/30478 19/03/2024 | Serial | 005 Last Visit: 10/07/2024 |
| Patient Name | Baby SIRISHA PANDIT | Contact No | 8478015451 |
| Address | 42 CHATRA KUMAR PARA LANE | Age | 0 Years,5 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 2.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||