Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13521 | Date 04/04/2024 |
| Token No | SM/24-25/31105 04/04/2024 | Serial | 040 Last Visit: 04/04/2024 |
| Patient Name | Miss BHUMIKA ROY | Contact No | 6289896206 |
| Address | CHATRA KUMAR PARA | Age | 9 Years,4 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||