Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00260 | Date 09/08/2018 |
| Token No | SM/18-19/277 09/08/2018 | Serial | 008 Last Visit: 09/08/2018 |
| Patient Name | Mrs. K. MUKHERJEE PANDA | Contact No | 9433125738 |
| Address | P.N. MUKHERJEE STREET | Age | 34.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||