Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13829 | Date 06/06/2024 |
| Token No | SM/24-25/33370 06/06/2024 | Serial | 056 Last Visit: 06/06/2024 |
| Patient Name | Baby DITIPRIYA ROY | Contact No | 7450068419 |
| Address | 22/A KUMIR JALA ROAD | Age | 1 Years,1 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||