Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04092 | Date 08/03/2019 |
| Token No | SM/18-19/10179 08/03/2019 | Serial | 070 Last Visit: 08/03/2019 |
| Patient Name | Mrs. JHUMA HAJRA | Contact No | 7890575510 |
| Address | CHARA BAGAN BAURI PARA,BAIDYABATI (M) | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||