Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14465 | Date 29/10/2024 |
| Token No | SM/24-25/38774 29/10/2024 | Serial | 002 Last Visit: 29/10/2024 |
| Patient Name | Baby DIYA DAS | Contact No | 9106296772 |
| Address | 17 P.N K BANERJEE LANE | Age | 2 Years,0 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||