Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00195 | Date 07/08/2018 |
| Token No | SM/24-25/34289 29/06/2024 | Serial | 062 Last Visit: 29/06/2024 |
| Patient Name | Baby MITHU DEY | Contact No | |
| Address | 12, K.C. BHATTACHARYA STREET | Age | 5 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||