Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16007 | Date 06/09/2025 |
| Token No | SM/25-26/5805 06/09/2025 | Serial | 066 Last Visit: 06/09/2025 |
| Patient Name | Baby ADEYA MAJHI | Contact No | 7044742861 |
| Address | CHATRA DOL TALA | Age | 0 Years,8 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||